Provider Demographics
NPI:1073604229
Name:ARMBRUSTER, KRISTINA ROSE (LISW-S, RN)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:ROSE
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:LISW-S, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2664 ARCHWOOD PL
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2453
Mailing Address - Country:US
Mailing Address - Phone:330-999-2548
Mailing Address - Fax:833-599-1682
Practice Address - Street 1:2664 ARCHWOOD PL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-2453
Practice Address - Country:US
Practice Address - Phone:330-999-2548
Practice Address - Fax:833-599-1682
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH418385163W00000X
OHI.0700356-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163W00000XNursing Service ProvidersRegistered Nurse