Provider Demographics
NPI:1437829322
Name:SANTIAGO, KRISTA F (MNSC, APRN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:F
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:MNSC, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14612 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4558
Mailing Address - Country:US
Mailing Address - Phone:501-730-2345
Mailing Address - Fax:
Practice Address - Street 1:2301 SPRINGHILL RD STE 200
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72019-7566
Practice Address - Country:US
Practice Address - Phone:501-847-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR214862363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics