Provider Demographics
NPI:1851764047
Name:RIZER, KRISTIN L (RN)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:L
Last Name:RIZER
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 1:791 PLAINFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CT
Mailing Address - Zip Code:06377-2018
Mailing Address - Country:US
Mailing Address - Phone:860-465-7796
Mailing Address - Fax:
Practice Address - Street 1:791 PLAINFIELD PIKE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CT
Practice Address - Zip Code:06377-2018
Practice Address - Country:US
Practice Address - Phone:860-465-7796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT124275163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse