Provider Demographics
NPI:1245076637
Name:ARON BJORKLUND, KRISTY (NNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:ARON BJORKLUND
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:ARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP-BC
Mailing Address - Street 1:635 CIVIC CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-1511
Mailing Address - Country:US
Mailing Address - Phone:510-520-2500
Mailing Address - Fax:
Practice Address - Street 1:1700 COFFEE RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2803
Practice Address - Country:US
Practice Address - Phone:209-526-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23152363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal