Individual provider · Type 1 NPI

Kristen E. Flack, AGNP

Gerontology Nurse Practitioner · Modesto, CA

NPI number 1144746140 Active

Practice location

1540 Florida Ave
Modesto, CA 95350-4430

Fax (209) 238-4890

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN95078988 (CA)
Gerontology Nurse Practitioner Primary 363LG0600XNP95007308 (CA)

Gerontology Nurse Practitioner: Definition to come...

30 other providers at this address

Other gerontology nurse practitioner providers in Modesto

See all in Modesto →

About NPI 1144746140

Kristen E. Flack, AGNP's National Provider Identifier is 1144746140, issued on Aug 21, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Modesto, CA. The record was last updated on Sep 15, 2017.