Provider Demographics
NPI:1861821944
Name:SLONE, KRISTINA NICOLE (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:NICOLE
Last Name:SLONE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 BEALL AVE
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2305
Mailing Address - Country:US
Mailing Address - Phone:330-465-7735
Mailing Address - Fax:
Practice Address - Street 1:1529 BEALL AVE
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2305
Practice Address - Country:US
Practice Address - Phone:330-465-7735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH395732163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse