Provider Demographics
NPI:1316772171
Name:HUTH, KRISTEN ROCHELLE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ROCHELLE
Last Name:HUTH
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:261 E CRAWFORD AVE
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3635
Mailing Address - Country:US
Mailing Address - Phone:724-628-4600
Mailing Address - Fax:724-628-0233
Practice Address - Street 1:261 E CRAWFORD AVE
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3635
Practice Address - Country:US
Practice Address - Phone:724-628-4600
Practice Address - Fax:724-628-0233
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP030512207R00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine