Individual provider · Type 1 NPI

Krystal Marie Disantis, NP-C

Nurse Practitioner · Daytona Beach, FL

NPI number 1033693288 Active

Practice location

731 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603

Call (786) 738-9144 Map

Fax (877) 245-1597

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	APRN.CNP.0233204 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033693288

Krystal Marie Disantis, NP-C's National Provider Identifier is 1033693288, issued on Sep 23, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Dec 15, 2021.