Basic Information
| Provider Information | |||||||||
| NPI: | 1801395728 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEPPIEN | ||||||||
| FirstName: | KRISTI | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2500 BERNVILLE RD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196059453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103782000 | ||||||||
| FaxNumber: | 6103782799 | ||||||||
| Practice Location | |||||||||
| Address1: | 410 EAST PENN AVENUE | ||||||||
| Address2: | |||||||||
| City: | ROBESONIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 195519014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4849873456 | ||||||||
| FaxNumber: | 6107433143 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2018 | ||||||||
| LastUpdateDate: | 12/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN606078 | PA | N | Nursing Service Providers | Registered Nurse | 363L00000X | SP018681 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.