Provider Demographics
NPI:1992401244
Name:GATES, KRISTEN COLLINS (APRN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:COLLINS
Last Name:GATES
Suffix:
Gender:
Credentials:APRN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12155 COUNTY ROAD 32
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-6227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5007 N DAVIS HWY STE 5
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2303
Practice Address - Country:US
Practice Address - Phone:850-610-8209
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily