Provider Demographics
NPI:1730840711
Name:VERITY, KRISTEN SLATER (RNFA)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:SLATER
Last Name:VERITY
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:MARION
Other - Last Name:SLATER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNFA
Mailing Address - Street 1:5000 CLOVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:BURDETT
Mailing Address - State:NY
Mailing Address - Zip Code:14818-9504
Mailing Address - Country:US
Mailing Address - Phone:607-227-7849
Mailing Address - Fax:
Practice Address - Street 1:101 DATES DR
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1342
Practice Address - Country:US
Practice Address - Phone:607-274-4011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY692141-1163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant