Provider Demographics
NPI:1396509493
Name:KRISTEL, ELIZABETH (FNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:KRISTEL
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 1:438 E 12TH ST APT 6R
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-4324
Mailing Address - Country:US
Mailing Address - Phone:516-287-6713
Mailing Address - Fax:
Practice Address - Street 1:438 E 12TH ST APT 6R
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-4324
Practice Address - Country:US
Practice Address - Phone:516-287-6713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY352544363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily