Doctor Name: | KRISTINE M REDMOND |
NPI Number: | 1023424389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, NP-C |
License Number: | 209011699 |
Business Practice Address: | 901 Grant St Harvard, IL - 600331821 |
Business Phone Number: | 8159435431 |
Business Fax Number: | 8159430659 |
Mailing Address: | 901 Grant St, HARVARD |
State: | IL |
Postal Code: | 600331821 |
Phone Number: | 8159435431 |
Fax Number: | 8159430659 |
NPI Enumeration Date: | 07/08/2014 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209011699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |