Provider Demographics
NPI:1588220990
Name:LOUISSAINT, KRISTINA EVELYNE (APRN-BC)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:EVELYNE
Last Name:LOUISSAINT
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 S OCEAN DR APT 2102
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2647
Mailing Address - Country:US
Mailing Address - Phone:305-850-5281
Mailing Address - Fax:
Practice Address - Street 1:22 BUSHWOOD CIR
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-0513
Practice Address - Country:US
Practice Address - Phone:214-868-4371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000432363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner