Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN FAITH DETTLING, RN
Active Sole ProprietorKRISTEN FAITH DETTLING, RN is a General Practice Nurse healthcare provider located in EAST NORTHPORT, New York. NPI 1366867236 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1366867236
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2014 (12.502845483952 yrs)
- Last Updated
- Feb 28, 2014
- License
-
680091 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
708 5TH AVEEAST NORTHPORT, NY, 117312311Browse NY providers · Browse ZIP 11731
- Phone
- 6317424994
- Primary Specialty
-
General Practice Nurse
163WG0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.