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NPI Code Detail

MEDICARE: MRS. KRISTYN MARIE GERROL FNP-BC

MEDICARE: MRS. KRISTYN MARIE GERROL FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner27786ASC

General Provider Information

NPI Number : 1396268124
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTYN MARIE GERROL FNP-BC
Provider Business Mailing Address
First Line : PO BOX 421718
Second Line :
City : GEORGETOWN
State : SC
Zip : 29442-4203
Country : US
Telephone Number : 843-527-7000
Fax Number :
Provider Business Practice Location Address
First Line : 4181 HIGHWAY 17
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-5019
Country : US
Telephone Number : 843-651-3308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2017
Last Update Date : 11/13/2025

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Directions to “ MRS. KRISTYN MARIE GERROL FNP-BC” Practice Location

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