Reardon, Kristina Leah

Reardon, Kristina Leah is an individual health care provider with primary practice located at 800 5Th Ave Ste 500 , Fort Worth TX 76104-7304. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Reardon, Kristina Leah can be contacted via phone (817) 250-4280.

Contact Information

Primary practice address
800 5Th Ave Ste 500 Fort Worth TX 76104-7304
Phone: (817) 250-4280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN567319 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X 811965 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP009505 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 811965 Texas

Profile Details

NPI number 1205079464
LBN Legal business name Reardon, Kristina Leah
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2009
Last updated Feb 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205079464 NPPES
Texas MEDICAID 316409704

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