Provider Demographics
NPI:1457504045
Name:WEINSTEIN, KRISTAN LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:KRISTAN
Middle Name:LYNN
Last Name:WEINSTEIN
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 1:4290 PROFESSIONAL CENTER DR STE 105
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4275
Mailing Address - Country:US
Mailing Address - Phone:561-627-7855
Mailing Address - Fax:
Practice Address - Street 1:4290 PROFESSIONAL CENTER DR STE 105
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4275
Practice Address - Country:US
Practice Address - Phone:561-627-7855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3318902363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner