Provider Demographics
NPI:1396054060
Name:COLETTI GIESLER, KRISTEN LEIGH (FNP-C, ENP-C, CFMP)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:LEIGH
Last Name:COLETTI GIESLER
Suffix:
Gender:F
Credentials:FNP-C, ENP-C, CFMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HAIDA DR
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-7953
Mailing Address - Country:US
Mailing Address - Phone:907-953-1855
Mailing Address - Fax:
Practice Address - Street 1:37060 CONNER RD
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-8101
Practice Address - Country:US
Practice Address - Phone:185-543-6772
Practice Address - Fax:855-339-1871
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1173363LF0000X
NC5006842363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily