Doctor Name: | KRISTI V EGGERS |
NPI Number: | 1255325502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 110724 |
Business Practice Address: | 301 S Way Ave Sutton, NE - 689792134 |
Business Phone Number: | 4027735553 |
Business Fax Number: | 4027735554 |
Mailing Address: | 301 S Way Ave, SUTTON |
State: | NE |
Postal Code: | 689792134 |
Phone Number: | 4027735553 |
Fax Number: | 4027735554 |
NPI Enumeration Date: | 09/01/2005 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 110724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |