Provider Demographics
NPI:1851115711
Name:CASALE, KRISTI LYNN (AGACNP)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNN
Last Name:CASALE
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 23RD ST APT 10G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4782
Mailing Address - Country:US
Mailing Address - Phone:732-513-4600
Mailing Address - Fax:
Practice Address - Street 1:300 E 23RD ST APT 10G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4782
Practice Address - Country:US
Practice Address - Phone:732-513-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY433068363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care