Provider Demographics
NPI:1457032559
Name:ZUMMO, KRISTEN M (RN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:ZUMMO
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 1:13504 DUNWOODY DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0611
Mailing Address - Country:US
Mailing Address - Phone:570-234-4577
Mailing Address - Fax:
Practice Address - Street 1:13504 DUNWOODY DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0611
Practice Address - Country:US
Practice Address - Phone:570-234-4577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9378043163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health