Provider Demographics
NPI:1649715426
Name:HALLIWELL, KRISTI (FNP)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:HALLIWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:
Other - Last Name:GEHOSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 HOSPITAL RD STE 3200
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3662
Mailing Address - Country:US
Mailing Address - Phone:724-464-0270
Mailing Address - Fax:724-464-0274
Practice Address - Street 1:850 HOSPITAL RD STE 3200
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3662
Practice Address - Country:US
Practice Address - Phone:724-464-0270
Practice Address - Fax:724-464-0274
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily