Provider Demographics
NPI:1922069970
Name:LEVIN, KRISTEN LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LYNN
Last Name:LEVIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:LYNN
Other - Last Name:BRUNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:529 SE PALM BEACH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2477
Mailing Address - Country:US
Mailing Address - Phone:772-781-4044
Mailing Address - Fax:772-781-4099
Practice Address - Street 1:529 SE PALM BEACH RD STE 102
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2477
Practice Address - Country:US
Practice Address - Phone:772-781-4044
Practice Address - Fax:772-781-4099
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3139982363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAG040YMedicare PIN