Breedlove, Kristina Lynn

Breedlove, Kristina Lynn is an individual health care provider with primary practice located at 3000 New Bern Ave Neonatology Dept., Raleigh NC 27610-1231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Breedlove, Kristina Lynn can be contacted via phone (919) 350-8545.

Contact Information

Primary practice address
3000 New Bern Ave Neonatology Dept. Raleigh NC 27610-1231
Phone: (919) 350-8545
Fax: (919) 350-8146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 144956 North Carolina

Profile Details

NPI number 1366533838
LBN Legal business name Breedlove, Kristina Lynn
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366533838 NPPES
North Carolina MEDICAID 7003810

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