Healthcare Provider Details

I. General information

NPI: 1144829664
Provider Name (Legal Business Name): KRISTEN CRESS MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 TECHNOLOGY DR STE 110
BUTLER PA
16001-1784
US

IV. Provider business mailing address

247 MOREWOOD AVE
PITTSBURGH PA
15213-1861
US

V. Phone/Fax

Practice location:
  • Phone: 724-482-2679
  • Fax:
Mailing address:
  • Phone: 412-622-0290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP022704
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: