Provider Demographics
NPI:1720548027
Name:ACERET, KRIS (FNP, APRN-RX; RN)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:
Last Name:ACERET
Suffix:
Gender:M
Credentials:FNP, APRN-RX; RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 HOOMALU ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2218
Mailing Address - Country:US
Mailing Address - Phone:808-375-1924
Mailing Address - Fax:808-565-9111
Practice Address - Street 1:333 SIXTH STREET
Practice Address - Street 2:
Practice Address - City:LANAI CITY
Practice Address - State:HI
Practice Address - Zip Code:96763
Practice Address - Country:US
Practice Address - Phone:808-565-6919
Practice Address - Fax:808-565-9111
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIR-85336163W00000X
HI2739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse