Individual
KRISTEN FUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSP, LD,
Contact information
Practice address
PO BOX 130334, TAMPA, FL 33681-0334
(813) 590-7565
(813) 219-8055
Mailing address
PO BOX 130334, TAMPA, FL 33681-0334
(813) 590-7565
(813) 219-8055
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND9388
FL
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86118144
FL
174N00000X
Lactation Consultant (Non-RN)
ALPP-319150
FL
Other
Enumeration date
12/15/2023
Last updated
04/22/2025
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