Provider Demographics
NPI:1467966523
Name:HORAN, KRISTIN (APN)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HORAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:LANGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:33 E 33RD ST FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5362
Mailing Address - Country:US
Mailing Address - Phone:844-337-6362
Mailing Address - Fax:
Practice Address - Street 1:4 PARAGON WAY STE 300
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7805
Practice Address - Country:US
Practice Address - Phone:844-337-6362
Practice Address - Fax:646-665-3604
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00766200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant