1447580873 NPI number — KRISTY LYNN WASHINGER CRNP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447580873 NPI number — KRISTY LYNN WASHINGER CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WASHINGER
Provider First Name:
KRISTY
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COLDSMITH
Provider Other First Name:
KRISTY
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1447580873
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2
Provider Second Line Business Mailing Address:
NEPHROLOGY ASSOCIATES OF CENTRAL PA, INC.
Provider Business Mailing Address City Name:
CAMP HILL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17001-0002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-972-2821
Provider Business Mailing Address Fax Number:
717-972-2845

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
207 HOUSE AVE STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMP HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-2308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-972-2821
Provider Business Practice Location Address Fax Number:
717-972-2845
Provider Enumeration Date:
01/07/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  SP010631 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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