Provider Demographics
NPI:1942612882
Name:FIEDLER, KRISTEN A (MSED, CLC, ALC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:A
Last Name:FIEDLER
Suffix:
Gender:F
Credentials:MSED, CLC, ALC
Other - Prefix:MRS
Other - First Name:KRISTEN
Other - Middle Name:A
Other - Last Name:ROSSI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED, CLC, ALC
Mailing Address - Street 1:10 THICKET ST
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:08230-1638
Mailing Address - Country:US
Mailing Address - Phone:609-703-5930
Mailing Address - Fax:
Practice Address - Street 1:100 MEDICAL CENTER WAY
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2300
Practice Address - Country:US
Practice Address - Phone:609-653-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN