Provider Demographics
NPI:1497144125
Name:STRANIERE, KRISTA (CRNP)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:STRANIERE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:VESPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32-36 CENTRAL AVE # 3
Practice Address - Street 2:
Practice Address - City:WELLSBORO
Practice Address - State:PA
Practice Address - Zip Code:16901-1840
Practice Address - Country:US
Practice Address - Phone:570-723-0760
Practice Address - Fax:570-723-0789
Is Sole Proprietor?:No
Enumeration Date:2015-01-19
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014424363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner