Provider Demographics
NPI:1568723369
Name:KRSTIC, NEVENA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:NEVENA
Middle Name:
Last Name:KRSTIC
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:NEVENA
Other - Middle Name:
Other - Last Name:CVJETKOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 TAMPA GENERAL CIRCLE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606
Mailing Address - Country:US
Mailing Address - Phone:813-250-2591
Mailing Address - Fax:832-825-9402
Practice Address - Street 1:2 TAMPA GENERAL CIRCLE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-250-2591
Practice Address - Fax:832-825-9402
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS