Provider Demographics
NPI:1518369495
Name:SHULER, KRYSTI (RN)
Entity Type:Individual
Prefix:
First Name:KRYSTI
Middle Name:
Last Name:SHULER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:KRYSTI
Other - Middle Name:SHULER
Other - Last Name:TAUNTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:13361 NW JOE CHASON CIR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:FL
Mailing Address - Zip Code:32321-3129
Mailing Address - Country:US
Mailing Address - Phone:850-567-1694
Mailing Address - Fax:850-643-5641
Practice Address - Street 1:13361 NW JOE CHASON CIR
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:FL
Practice Address - Zip Code:32321-3129
Practice Address - Country:US
Practice Address - Phone:850-567-1694
Practice Address - Fax:850-643-5641
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9277634163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse