Provider Demographics
NPI:1295373538
Name:ZACHARIAH, KRISTIE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:ZACHARIAH
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 N BISHOP AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4176
Mailing Address - Country:US
Mailing Address - Phone:214-941-1353
Mailing Address - Fax:214-941-1047
Practice Address - Street 1:1222 N BISHOP AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4176
Practice Address - Country:US
Practice Address - Phone:214-941-1353
Practice Address - Fax:214-941-1047
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily