Longo, Kristina Elaine

Longo, Kristina Elaine is an individual health care provider with primary practice located at 1631 Lancaster Dr Ste 150 , Grapevine TX 76051-3586. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Longo, Kristina Elaine can be contacted via phone (817) 251-9080.

Contact Information

Primary practice address
1631 Lancaster Dr Ste 150 Grapevine TX 76051-3586
Phone: (817) 251-9080
Fax: (817) 251-9082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 688607 Texas

Profile Details

NPI number 1396089967
LBN Legal business name Longo, Kristina Elaine
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2012
Last updated Jul 21st, 2022 - about 4 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 1396089967 NPPES
Texas MEDICAID 311114802

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