Provider Demographics
NPI:1336627421
Name:GANAS, KRISTEN HOPE (RN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:HOPE
Last Name:GANAS
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 1:4690 JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31503-9787
Mailing Address - Country:US
Mailing Address - Phone:912-288-3535
Mailing Address - Fax:
Practice Address - Street 1:1506 ALICE ST
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-4531
Practice Address - Country:US
Practice Address - Phone:912-584-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9439942363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner