Provider Demographics
NPI:1841430709
Name:GUTEN, KRISTINE K
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:K
Last Name:GUTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8422 SUN DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-3339
Mailing Address - Country:US
Mailing Address - Phone:727-237-1570
Mailing Address - Fax:727-213-6246
Practice Address - Street 1:8422 SUN DR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-3339
Practice Address - Country:US
Practice Address - Phone:727-237-1570
Practice Address - Fax:727-213-6246
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2668242163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse