Provider Demographics
NPI:1942587894
Name:FLESHER, KRISTA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:FLESHER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AMALIA DR
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-2239
Mailing Address - Country:US
Mailing Address - Phone:304-472-6041
Mailing Address - Fax:304-724-4371
Practice Address - Street 1:21 AUCTION LN
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201-8968
Practice Address - Country:US
Practice Address - Phone:304-472-6041
Practice Address - Fax:304-472-4371
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV65369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily