Provider Demographics
NPI:1083249072
Name:AYRER, KRISTEN (CRNP- AGPCNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:AYRER
Suffix:
Gender:F
Credentials:CRNP- AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 LINTON HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1640
Mailing Address - Country:US
Mailing Address - Phone:267-767-2109
Mailing Address - Fax:
Practice Address - Street 1:174 MIDDLETOWN BLVD STE 304
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3201
Practice Address - Country:US
Practice Address - Phone:215-757-2359
Practice Address - Fax:215-478-8026
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021228363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology