Provider Demographics
NPI:1740855576
Name:PEHL, CRISTA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CRISTA
Middle Name:
Last Name:PEHL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CRISTA
Other - Middle Name:
Other - Last Name:HARB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 W HOLLIS ST STE 106
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1386
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 W HOLLIS ST STE 106
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1386
Practice Address - Country:US
Practice Address - Phone:603-577-1613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0181282-23363LF0000X
MARN2308872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily