Healthcare Provider Details

I. General information

NPI: 1407118615
Provider Name (Legal Business Name): KRISTEN LYNNE PAWLOWSKI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 N NC 16 BUSINESS HWY STE 104
DENVER NC
28037-3002
US

IV. Provider business mailing address

7892 LAKEVIEW DR
DENVER NC
28037-8243
US

V. Phone/Fax

Practice location:
  • Phone: 704-489-3440
  • Fax: 888-815-0892
Mailing address:
  • Phone: 336-589-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5006466
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: