Provider Demographics
NPI:1487183786
Name:MARSTON, KRISTA NICHOLE (RN)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:NICHOLE
Last Name:MARSTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21212 NORTHWEST FWY STE 405
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5887
Mailing Address - Country:US
Mailing Address - Phone:832-280-5447
Mailing Address - Fax:855-265-5620
Practice Address - Street 1:21212 NORTHWEST FWY STE 405
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5887
Practice Address - Country:US
Practice Address - Phone:832-280-5447
Practice Address - Fax:855-265-5620
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX790083163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator