Provider Demographics
NPI:1114376514
Name:FRIEDLANDER, KRYSTINA (CPM, NHCM)
Entity Type:Individual
Prefix:
First Name:KRYSTINA
Middle Name:
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:CPM, NHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MAIN ST # 2422
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2438
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:387 LAFAYETTE RD STE 209
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2206
Practice Address - Country:US
Practice Address - Phone:617-768-7619
Practice Address - Fax:617-500-9319
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
NH1063176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty