Provider Demographics
NPI:1427199322
Name:KINN, ADRIANA CRYSTAL (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:CRYSTAL
Last Name:KINN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 PINE RIDGE RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2107
Mailing Address - Country:US
Mailing Address - Phone:239-593-0663
Mailing Address - Fax:239-593-0664
Practice Address - Street 1:4513 EXECUTIVE DR STE 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-9033
Practice Address - Country:US
Practice Address - Phone:239-591-2803
Practice Address - Fax:239-594-5637
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9167724363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care