Reardon, Kristina Leah
Reardon, Kristina Leah is an individual health care provider with primary practice located at 800 5Th Ave Ste 500 , Fort Worth TX 76104-7304. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Reardon, Kristina Leah can be contacted via phone (817) 250-4280.Contact Information
Primary practice address
800 5Th Ave Ste 500
Fort Worth TX 76104-7304
Phone: (817) 250-4280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN567319 | Pennsylvania |
| Nursing Service Providers / Registered Nurse | 163W00000X | 811965 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | SP009505 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 811965 | Texas |
Profile Details
| NPI number | 1205079464 |
|---|---|
| LBN Legal business name | Reardon, Kristina Leah |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205079464 | NPPES |
| Texas | MEDICAID | 316409704 |
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