Provider Demographics
NPI:1538490909
Name:TREMLETT, KRISTIN ELAINE (RN)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:ELAINE
Last Name:TREMLETT
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 1:7012 1ST ST
Mailing Address - Street 2:
Mailing Address - City:OVID
Mailing Address - State:NY
Mailing Address - Zip Code:14521-9744
Mailing Address - Country:US
Mailing Address - Phone:607-869-2467
Mailing Address - Fax:
Practice Address - Street 1:7012 1ST ST
Practice Address - Street 2:
Practice Address - City:OVID
Practice Address - State:NY
Practice Address - Zip Code:14521-9744
Practice Address - Country:US
Practice Address - Phone:607-869-2467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-24
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY538567-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse