Individual
MISS KRISTEN ANNE FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, CRNFA
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-3210
Mailing address
35 RIVERDALE DR, HAMPTON BAYS, NY 11946-2871
(631) 723-3772
(631) 723-3772
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
395250-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F305093-1
NY
Other
Enumeration date
01/29/2007
Last updated
12/21/2011
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