Provider Demographics
NPI:1033588462
Name:GEWITSCH, KRISTINA (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:
Last Name:GEWITSCH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 ROXBURY CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-2715
Mailing Address - Country:US
Mailing Address - Phone:615-642-8149
Mailing Address - Fax:
Practice Address - Street 1:1317 ROXBURY CT
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-2715
Practice Address - Country:US
Practice Address - Phone:615-642-8149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN177903163WE0003X
TN2015011090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency