Provider Demographics
NPI:1003075854
Name:SEARLES, KRISTI LC (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:LC
Last Name:SEARLES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:
Other - Last Name:HULSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:99 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-1203
Mailing Address - Country:US
Mailing Address - Phone:518-775-4205
Mailing Address - Fax:518-773-5620
Practice Address - Street 1:46 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FONDA
Practice Address - State:NY
Practice Address - Zip Code:12068-4821
Practice Address - Country:US
Practice Address - Phone:518-853-3190
Practice Address - Fax:518-853-3191
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344139363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily