Provider Demographics
NPI:1902246416
Name:WASHINGTON, KRISTIN CIPRIANO (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:CIPRIANO
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:BLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, FNP-C
Mailing Address - Street 1:4371 VERONICA S SHOEMAKER BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-2216
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:239-278-3350
Practice Address - Street 1:301 SE OCEAN BLVD STE 102
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2236
Practice Address - Country:US
Practice Address - Phone:772-287-4061
Practice Address - Fax:844-647-8689
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9301494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily