Provider Demographics
NPI:1427475011
Name:HUENINK, KRISTIN RENEE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:RENEE
Last Name:HUENINK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 LITTLE PATUXENT PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3648
Mailing Address - Country:US
Mailing Address - Phone:888-731-8994
Mailing Address - Fax:
Practice Address - Street 1:222 2ND AVE S FL 17
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37201-2366
Practice Address - Country:US
Practice Address - Phone:888-731-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1053196363LA2200X
TN35960363LA2200X
COC-ANP.0000173-C-NP363LA2200X
MO2021005464363LA2200X
FLTPAN2187363LA2200X
GAGAA-NP002152363LA2200X
VA0024174038363LA2200X
MDAC002700363LA2200X
TX1116997363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health