Healthcare Provider Details

I. General information

NPI: 1952846008
Provider Name (Legal Business Name): KRISTINA WING SPIVEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2016
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 HOSPITAL DR
BREVARD NC
28712-3378
US

IV. Provider business mailing address

800 N JUSTICE ST
HENDERSONVILLE NC
28791-3410
US

V. Phone/Fax

Practice location:
  • Phone: 828-883-5330
  • Fax: 828-883-5242
Mailing address:
  • Phone: 828-696-4270
  • Fax: 828-696-4734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5009178
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5009178
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: