Krista M Lang
Individual provider Active NPI Home Health Registered Nurse · Blasdell, NY
NPI 1659642437 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1659642437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 606392 (NY)
- Practice address
- 3490 Bethford Drive
Blasdell, NY 14219 - Phone
- (716) 748-9102
- NPI assigned
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606392 | NY | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 606392 | NY | Yes |
Addresses
Primary practice location
3490 Bethford Drive
Blasdell, NY 14219
Mailing address
3490 Bethford Drive
Blasdell, NY 14219
Other providers in Blasdell, NY
- Caroline Rose Horrigan-Maurer
- Jennifer Therese Horschel
- Kristen Jackson
- Eugene Khaylomsky
- Eileen Klubek
- Stacey Lee Laufer
- Magali Lee
- Kimberly-Anne Llamzon
- Margaret Wenjie Lu
- Luxottica of America Inc
All providers in Blasdell, NY · Home Health Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.