Provider Demographics
NPI:1225585243
Name:BARITOT, KRYSTEN
Entity Type:Individual
Prefix:
First Name:KRYSTEN
Middle Name:
Last Name:BARITOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NYE HILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2650
Mailing Address - Country:US
Mailing Address - Phone:716-652-3580
Mailing Address - Fax:
Practice Address - Street 1:20 NYE HILL RD
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2650
Practice Address - Country:US
Practice Address - Phone:716-652-3580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402358163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse