Individual
MRS. KRISTEN MARIE COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 BOOTH RD STE A, ORMOND BEACH, FL 32174-5716
(386) 523-1212
(386) 523-1213
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9236482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015792900
—
FL
Enumeration date
07/01/2015
Last updated
01/17/2017
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