Provider Demographics
NPI:1992447320
Name:ZUFAN, KRISTIN N (RRT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:N
Last Name:ZUFAN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 SW OTTER RUN PL
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-3047
Mailing Address - Country:US
Mailing Address - Phone:772-634-2438
Mailing Address - Fax:
Practice Address - Street 1:160 SW OTTER RUN PL
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-3047
Practice Address - Country:US
Practice Address - Phone:772-634-2438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT1111162279H0200X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNAOtherOCEANSIDE HEALTH, LLC