Tan, Kristti Lei Birondo

Tan, Kristti Lei Birondo is an individual health care provider with primary practice located at 2004 Hayes St Ste 655 , Nashville TN 37203-2656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Tan, Kristti Lei Birondo can be contacted via phone (615) 866-9040.

Contact Information

Primary practice address
2004 Hayes St Ste 655 Nashville TN 37203-2656
Phone: (615) 866-9040
Fax: (615) 750-5756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 309683 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1014530 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 32408 Tennessee

Profile Details

NPI number 1679175236
LBN Legal business name Tan, Kristti Lei Birondo
Credentials AGNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2020
Last updated Feb 5th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679175236 NPPES
Tennessee MEDICAID Q079530

Popular Providers