Provider Demographics
NPI:1396845020
Name:ANSTINE, KRISTIN (FNP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:ANSTINE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64061-2512
Mailing Address - Country:US
Mailing Address - Phone:816-597-3500
Mailing Address - Fax:816-597-3555
Practice Address - Street 1:305 E PACIFIC ST
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:MO
Practice Address - Zip Code:64061-2512
Practice Address - Country:US
Practice Address - Phone:816-597-3500
Practice Address - Fax:816-597-3555
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO130022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP58267Medicare UPIN