Provider Demographics
NPI:1316271448
Name:ROBERTS, KRISTINA E (ARNP)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:E
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CADILLAC DR
Mailing Address - Street 2:STE. 250
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5087
Mailing Address - Country:US
Mailing Address - Phone:615-425-4225
Mailing Address - Fax:615-425-4271
Practice Address - Street 1:16560 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-6172
Practice Address - Country:US
Practice Address - Phone:813-490-0909
Practice Address - Fax:813-490-0910
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1741652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily