Provider Demographics
NPI:1861623902
Name:HESSER, KRISTINA W (RN)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:W
Last Name:HESSER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 MIAMI AVE
Mailing Address - Street 2:
Mailing Address - City:TERRACE PARK
Mailing Address - State:OH
Mailing Address - Zip Code:45174-1224
Mailing Address - Country:US
Mailing Address - Phone:513-831-8831
Mailing Address - Fax:513-831-0375
Practice Address - Street 1:854 KRUPP DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45118-9442
Practice Address - Country:US
Practice Address - Phone:513-875-8002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN158773163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health