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Kristti Lei Birondo Tan, AGNP-BC
Gerontology Nurse Practitioner in Nashville, Tennessee
NPI 1679175236

Kristti Lei Birondo Tan is a Gerontology Nurse Practitioner based in Nashville, TN and is specialized in Gerontology. Kristti Lei Birondo Tan practices in Nashville, TN and has the professional credentials of AGNP-BC. The NPI Number for Kristti Lei Birondo Tan is 1679175236 and holds a License No. 309683 (Tennessee).

The current practice location address for Kristti Lei Birondo Tan is 2004 Hayes St Ste 655, Nashville, TN and can be reached out via phone at 615-866-9040 and via fax at 615-750-5756.

Location: 2004 Hayes St Ste 655, Nashville, TN, 37211-4123
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Provider Profile Details
NPI Number
1679175236
Provider Name
Kristti Lei Birondo Tan
Credential
AGNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2004 Hayes St Ste 655, Nashville, TN, 37211-4123
Phone Number
615-866-9040
Fax Number
615-750-5756
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q079530 05 TN
institution
Provider Business Practice Location Address Details
Address
2004 Hayes St Ste 655
City
State
Zip
37203-2656
Phone Number
615-866-9040
Fax Number
615-750-5756
person
Provider Business Mailing Address Details
Address
2004 Hayes St Ste 655
City
State
Zip
37203-2656
Phone Number
615-866-9040
Fax Number
615-750-5756
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
1014530 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
309683 (New York)
Definition
Definition to come...
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