Provider Demographics
NPI:1497445902
Name:LAFEVER, KRISTI MALENA (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:MALENA
Last Name:LAFEVER
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:MALENA
Other - Last Name:MANIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2950 GAINESBORO HWY
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:38545-4523
Mailing Address - Country:US
Mailing Address - Phone:859-433-5691
Mailing Address - Fax:
Practice Address - Street 1:2950 GAINESBORO HWY
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:38545-4523
Practice Address - Country:US
Practice Address - Phone:859-433-5691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000033780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily