Individual
KRISTINA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 LAKE ELIZABETH DR, WINTER HAVEN, FL 33884-1434
(863) 206-2750
Mailing address
608 LAKE ELIZABETH DR, WINTER HAVEN, FL 33884-1434
(863) 206-2750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9355019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
163W00000X
FL
Enumeration date
08/21/2015
Last updated
08/21/2015
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