Kristin Marie Edler, RN
Individual provider Active NPI Registered Nurse · Grover Beach, CA
NPI 1497936355 · NPPES record last updated Nov 20, 2007
Key facts
- NPI
- 1497936355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 576974 (CA)
- Practice address
- 286 S 16TH St
Grover Beach, CA 93433-2245 - Phone
- (805) 473-7040
- NPI assigned
- Nov 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 576974 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 576974 | CA | Yes |
Addresses
Primary practice location
286 S 16TH St
Grover Beach, CA 93433-2245
Mailing address
2191 Johnson Ave
PO Box 1489
San Luis Obispo, CA 93401-4534
Phone (805) 473-7040
Other providers in Grover Beach, CA
- Stephanie Diaz
- Lindsay Doerner
- Camila Dos Santos de Souza
- Nicole Marina Drake
- Sally Lynn Dutton
- Theresa Epperson
- Cheri K Ermshar
- Glen Eric Fairfield
- Samatha Flores
- Dana Francis
All providers in Grover Beach, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2007. 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.