Healthcare Provider Details

I. General information

NPI: 1396155032
Provider Name (Legal Business Name): KRISTI CRONIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2014
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 INNOVATION DR STE 400
GREENVILLE SC
29607-5270
US

IV. Provider business mailing address

PO BOX 631341
CINCINNATI OH
45263-1341
US

V. Phone/Fax

Practice location:
  • Phone: 864-235-7665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN9293032
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number29005
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: