Provider Demographics
NPI:1063273324
Name:STEED, KRISTIN (FNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:STEED
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 BLANDING BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-4935
Mailing Address - Country:US
Mailing Address - Phone:904-406-0514
Mailing Address - Fax:904-406-0654
Practice Address - Street 1:1811 BLANDING BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-4935
Practice Address - Country:US
Practice Address - Phone:904-406-0514
Practice Address - Fax:904-406-0654
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029752363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily