Provider Demographics
NPI:1306396536
Name:LUFT, KIRSTEN (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:LUFT
Suffix:
Gender:F
Credentials:AGACNP-BC
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Other - Credentials:
Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:INSTITUTE BLDG. 5TH FLOOR, ROOM 515A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-7725
Mailing Address - Fax:305-355-2432
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:INSTITUTE BLDG. 5TH FLOOR, ROOM 515A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-7725
Practice Address - Fax:305-355-2432
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9229292363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine