Provider Demographics
NPI:1609329366
Name:HITCHENS, KRISTA NICOLE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:KRISTA
Middle Name:NICOLE
Last Name:HITCHENS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 OAKWYNN CIR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-4453
Mailing Address - Country:US
Mailing Address - Phone:302-450-2994
Mailing Address - Fax:
Practice Address - Street 1:28 OAKWYNN CIR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-4453
Practice Address - Country:US
Practice Address - Phone:302-450-2994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0040879163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEL1-0040879OtherRN LICENSE