Provider Demographics
NPI:1376897454
Name:SAPANARO, KRISTIN E (APRN)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:E
Last Name:SAPANARO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:ELENA
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:26 RYE RIDGE PLZ
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2820
Mailing Address - Country:US
Mailing Address - Phone:914-251-1100
Mailing Address - Fax:914-251-1109
Practice Address - Street 1:26 RYE RIDGE PLZ
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2820
Practice Address - Country:US
Practice Address - Phone:914-251-1100
Practice Address - Fax:914-251-1109
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005730363LF0000X
FL9264721363LF0000X
NY339173363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily