Provider Demographics
NPI:1699162248
Name:ROMER, KINDRA (FNP)
Entity type:Individual
Prefix:MRS
First Name:KINDRA
Middle Name:
Last Name:ROMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 COMMERCE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1835
Mailing Address - Country:US
Mailing Address - Phone:659-786-1828
Mailing Address - Fax:855-737-5542
Practice Address - Street 1:5201 KINGSTON PIKE STE 6
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5011
Practice Address - Country:US
Practice Address - Phone:659-786-1828
Practice Address - Fax:855-737-5542
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19744363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily