Provider Demographics
NPI:1760837546
Name:ARAZA, KRISTEN WILSON (ACNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:WILSON
Last Name:ARAZA
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:MARGARET
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP-BC
Mailing Address - Street 1:2505 CASTILLO ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4303
Mailing Address - Country:US
Mailing Address - Phone:302-377-3913
Mailing Address - Fax:
Practice Address - Street 1:2505 CASTILLO ST UNIT A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4303
Practice Address - Country:US
Practice Address - Phone:302-377-3913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002456363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care