Provider Demographics
NPI:1891416616
Name:DONADIO, KRISTIN JANE (MSN, APN, A-GNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JANE
Last Name:DONADIO
Suffix:
Gender:F
Credentials:MSN, APN, A-GNP-C
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1 CASTLE POINT TERRACE
Mailing Address - Street 2:STEVENS INSTITUTE OF TECHNOLOGY STUDENT HEALTH SERVICES
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:201-216-5678
Mailing Address - Fax:
Practice Address - Street 1:1 CASTLE POINT TERRACE
Practice Address - Street 2:STEVENS INSTITUTE OF TECHNOLOGY STUDENT HEALTH SERVICES
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-216-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01364100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health