Provider Demographics
NPI:1851818348
Name:DAMBRINO, KRISTIAN (PMHNP)
Entity Type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:
Last Name:DAMBRINO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 PATTERSON ST STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1582
Mailing Address - Country:US
Mailing Address - Phone:615-327-7400
Mailing Address - Fax:615-327-4818
Practice Address - Street 1:2400 PATTERSON ST STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1582
Practice Address - Country:US
Practice Address - Phone:615-327-7400
Practice Address - Fax:615-327-4818
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23232363LP0808X
TN0000217487163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse