Provider Demographics
NPI:1538715206
Name:BARBONE, KRISTINA WALLACE (FNP)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:WALLACE
Last Name:BARBONE
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 1:1285 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1620
Mailing Address - Country:US
Mailing Address - Phone:401-886-0902
Mailing Address - Fax:
Practice Address - Street 1:1285 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1620
Practice Address - Country:US
Practice Address - Phone:401-886-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-17
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031198363LF0000X
DELG-0012937363LF0000X
MDAC006923363LF0000X
MA2321730363LF0000X
MECNP241503363LF0000X
VT101.0137327363LF0000X
KY4026720363LF0000X
NH09038323363LF0000X
OHAPRN.CNP.0038007363LF0000X
KS53-83811-041363LF0000X
DCNP500020822363LF0000X
RIAPRN02114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily