Provider Demographics
NPI:1508839259
Name:DARJI, KRISTEN S (NNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:S
Last Name:DARJI
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:K
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP
Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:NAVAL MEDICAL CENTER SAN DIEGO
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134
Mailing Address - Country:US
Mailing Address - Phone:619-532-8910
Mailing Address - Fax:619-532-8914
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NAVAL MEDICAL CENTER SAN DIEGO
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-532-8910
Practice Address - Fax:619-532-8914
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16221363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner