National Provider Identifier
Kristina Blackstock Fister, NP
Kristina Blackstock Fister, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (802) 058-5442.
Profile Overview
- NPI
- 1457174948
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- November 04, 2024
- Last Updated
- December 17, 2024
Practice Location
- 125 Lattimore RD Ste 258
- Rochester, NY 14620-4155
Phone: (802) 058-5442
Mailing Address
- 601 Elmwood Ave Box 668
- Rochester, NY 14642-0001
Specialties
- Nurse Practitioner (363L00000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1457174948
- Entity Type
- Individual
- Last Name
- Fister
- First Name
- Kristina
- Middle Name
- Blackstock
- Name Prefix
- Mrs.
- Credential
- NP
- Mailing Street Address
- 601 Elmwood Ave Box 668
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5705
- Practice Street Address
- 125 Lattimore RD Ste 258
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4155
- Practice Country
- US
- Practice Phone
- (802) 058-5442
- Enumeration Date
- November 04, 2024
- Last Updated
- December 17, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Nurse Practitioner (363L00000X)