Niehanke, Kristina N

Niehanke, Kristina N is an individual health care provider with primary practice located at 105 W Cranford Ave , Valdosta GA 31602-2930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Niehanke, Kristina N can be contacted via phone (229) 247-7350.

Contact Information

Primary practice address
105 W Cranford Ave Valdosta GA 31602-2930
Phone: (229) 247-7350
Fax: (229) 242-1730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X PENDING TEST Georgia

Profile Details

NPI number 1306071444
LBN Legal business name Niehanke, Kristina N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - about 17 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 1306071444 NPPES
Georgia MEDICAID PENDING

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