Doctor Name: | KRISTA MICHELE VERDI |
NPI Number: | 1477534600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9102906 |
Business Practice Address: | 360 W Ruddle St Coaldale, PA - 182181027 |
Business Phone Number: | 4845262598 |
Business Fax Number: | 4845262599 |
Mailing Address: | 360 W Ruddle St, COALDALE |
State: | PA |
Postal Code: | 182181027 |
Phone Number: | 4845262598 |
Fax Number: | 4845262599 |
NPI Enumeration Date: | 11/05/2005 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9102906 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |