Sidell, Krista K.

Sidell, Krista K. is an individual health care provider with primary practice located at 1718 E 4Th St Suite 105, Charlotte NC 28204-3261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sidell, Krista K. can be contacted via phone (704) 384-7292.

Contact Information

Primary practice address
1718 E 4Th St Suite 105 Charlotte NC 28204-3261
Phone: (704) 384-7292
Fax: (704) 384-8880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 900366 North Carolina

Profile Details

NPI number 1184624751
LBN Legal business name Sidell, Krista K.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 7th, 2013 - about 12 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 1184624751 NPPES
North Carolina MEDICAID 7005566

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