Provider Demographics
NPI:1841429321
Name:NARDOZZI, KRISTEN LYN-MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:LYN-MARIE
Last Name:NARDOZZI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 ROUTE 22
Mailing Address - Street 2:PENN PLACE
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-858-5280
Mailing Address - Fax:412-858-5282
Practice Address - Street 1:4145 ROUTE 22
Practice Address - Street 2:PENN PLACE
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-858-5280
Practice Address - Fax:412-858-5282
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT013169207Q00000X
PAOS015382207Q00000X
ND12500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine