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NPI Code Detail

MEDICARE: KRISTA F SANTIAGO MNSC, APRN, CPNP-PC

MEDICARE:   KRISTA F SANTIAGO  MNSC, APRN, CPNP-PC
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
1363LP0200XPediatric Nurse Practitioner214862AR

General Provider Information

NPI Number : 1437829322
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA F SANTIAGO MNSC, APRN, CPNP-PC
Provider Business Mailing Address
First Line : 14612 RIDGEWOOD DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4558
Country : US
Telephone Number : 501-730-2345
Fax Number :
Provider Business Practice Location Address
First Line : 2301 SPRINGHILL RD STE 200
Second Line :
City : BRYANT
State : AR
Zip : 72019-7566
Country : US
Telephone Number : 501-847-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 09/14/2021

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Directions to “ KRISTA F SANTIAGO MNSC, APRN, CPNP-PC” Practice Location

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