Provider Demographics
NPI:1871975128
Name:FEW, CRISTA D (MD)
Entity type:Individual
Prefix:
First Name:CRISTA
Middle Name:D
Last Name:FEW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:CRISTA
Other - Middle Name:DANAE
Other - Last Name:NAZARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 860876
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0876
Mailing Address - Country:US
Mailing Address - Phone:402-483-8590
Mailing Address - Fax:402-483-8599
Practice Address - Street 1:4501 S 70TH ST STE 140
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4276
Practice Address - Country:US
Practice Address - Phone:402-483-3755
Practice Address - Fax:402-483-3774
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD11182207Q00000X
NE36310207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine