Provider Demographics
NPI:1235548736
Name:VINUEZA, KRISTIN STUTZ (RN, FNP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:STUTZ
Last Name:VINUEZA
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:ELIZABETH
Other - Last Name:STUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2306 RANCH ROAD 620 S
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-6269
Mailing Address - Country:US
Mailing Address - Phone:512-263-6000
Mailing Address - Fax:
Practice Address - Street 1:2306 RANCH ROAD 620 S
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6269
Practice Address - Country:US
Practice Address - Phone:512-263-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily