Krista Jo Anderson, RN
Individual provider Active NPI Registered Nurse · New Castle, DE
NPI 1760935183 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1760935183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- L2-0044863 (DE)
- Practice address
- 24 Fithian Dr
New Castle, DE 19720-3208 - Phone
- (239) 247-1170
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2-0044863 | DE | MD | Registered Nurse |
| RN9296238 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L2-0044863 | DE | Yes |
| Registered Nurse | 163W00000X | RN9296238 | FL |
Addresses
Primary practice location
24 Fithian Dr
New Castle, DE 19720-3208
Mailing address
24 Fithian Dr
New Castle, DE 19720-3208
Phone (239) 247-1170
Other names
- Krista Jo Martin
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. 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.