Provider Demographics
NPI:1417342916
Name:ARMBRUSTER, KRYSTLE ANNETTE-SANCHEZ (FNP-C)
Entity Type:Individual
Prefix:
First Name:KRYSTLE
Middle Name:ANNETTE-SANCHEZ
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KRYSTLE
Other - Middle Name:ANNETTE
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11025 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-2648
Mailing Address - Country:US
Mailing Address - Phone:909-319-2310
Mailing Address - Fax:
Practice Address - Street 1:12900 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-5266
Practice Address - Country:US
Practice Address - Phone:888-743-7526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA729414163W00000X
CA95002271363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse