Provider Demographics
NPI:1588068746
Name:GUEST, KRISTIANNE COLLEEN (FNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTIANNE
Middle Name:COLLEEN
Last Name:GUEST
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 POLLARD RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1415
Mailing Address - Country:US
Mailing Address - Phone:408-688-2082
Mailing Address - Fax:
Practice Address - Street 1:800 POLLARD RD
Practice Address - Street 2:BUILDING A
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1415
Practice Address - Country:US
Practice Address - Phone:408-688-2082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8178363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily