Healthcare Provider Details

I. General information

NPI: 1518041250
Provider Name (Legal Business Name): KRISTI GIEMZA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 JAMES ST
DURHAM NC
27707-2024
US

IV. Provider business mailing address

1820 JAMES ST
DURHAM NC
27707-2024
US

V. Phone/Fax

Practice location:
  • Phone: 919-419-1059
  • Fax: 919-433-1530
Mailing address:
  • Phone: 919-419-1059
  • Fax: 919-433-1530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201300
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: