Provider Demographics
NPI:1568687259
Name:NAVARRO, KRISTIN (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 E LULLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5268
Mailing Address - Country:US
Mailing Address - Phone:210-643-1393
Mailing Address - Fax:
Practice Address - Street 1:251 E LULLWOOD AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5268
Practice Address - Country:US
Practice Address - Phone:210-643-1393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX703384163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics