Provider Demographics
NPI:1982338695
Name:CAFFREY, KRISTA NICOLE (APRN)
Entity type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:NICOLE
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8437 TUTTLE AVE STE 374
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2868
Mailing Address - Country:US
Mailing Address - Phone:239-333-5361
Mailing Address - Fax:571-522-2786
Practice Address - Street 1:8437 TUTTLE AVE STE 374
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2868
Practice Address - Country:US
Practice Address - Phone:239-333-5361
Practice Address - Fax:571-522-2786
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020466363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily