Individual provider · Type 1 NPI
Kristen Faith Dettling, RN
General Practice Registered Nurse · East Northport, NY
NPI number
1366867236
Active
Practice location
708 5th Ave
East Northport, NY 11731-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 680091 (NY) |
General Practice Registered Nurse: Definition to come...
About NPI 1366867236
Kristen Faith Dettling, RN's National Provider Identifier is 1366867236, issued on Feb 28, 2014. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in East Northport, NY. The record was last updated on Feb 28, 2014.