Provider Demographics
NPI:1669810669
Name:ABBOTT, KRISTINA GEORGES (CNP)
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:GEORGES
Last Name:ABBOTT
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Gender:F
Credentials:CNP
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Mailing Address - Street 1:6801 MAYFIELD RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2270
Mailing Address - Country:US
Mailing Address - Phone:440-449-8890
Mailing Address - Fax:440-449-7580
Practice Address - Street 1:6801 MAYFIELD RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2270
Practice Address - Country:US
Practice Address - Phone:440-449-8890
Practice Address - Fax:440-449-7580
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.14436-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner