Kristin Andrea De Vries, RN
Individual provider Active NPI Registered Nurse · Hampstead, MD
NPI 1487997367 · NPPES record last updated Mar 29, 2013
Key facts
- NPI
- 1487997367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R192070 (MD)
- Practice address
- 4222 Wolf Hill Dr
Hampstead, MD 21074-2009 - Phone
- (443) 744-1913
- Fax
- (443) 291-6680
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R192070 | MD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R192070 | MD | Yes |
Addresses
Primary practice location
4222 Wolf Hill Dr
Hampstead, MD 21074-2009
Mailing address
4222 Wolf Hill Drive
Hampstead, MD 21074
Phone (443) 744-1913
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R192070 | Other | MD | MBON |
Other providers in Hampstead, MD
- D a Rocha MD LLC
- Foula Dargakis
- Cynthia (Cindy) R Davis
- Melissa T Davis
- Jason Robert Day
- Steven Christian Della Vecchia
- Deo Gracias Faustino MD PA
- Sharon Helen Donnelly
- Dr Steve LLC Skill Tree
- Marian El-Sayed
All providers in Hampstead, MD · Registered Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.