Individual provider · Type 1 NPI
Kristian Devera Zacarias, FNP
Family Nurse Practitioner · Rockaway Park, NY
NPI number
1285490268
Active
Practice location
11506 Beach Channel Dr Ste 101
Rockaway Park, NY 11694-2113
Mailing address
174 Maryland Ave
Staten Island, NY 10305-3039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 353630 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285490268
Kristian Devera Zacarias, FNP's National Provider Identifier is 1285490268, issued on Feb 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockaway Park, NY. The record was last updated on Feb 26, 2024.