Kristin Marie Longacre, R.N.
Individual provider Active NPI Registered Nurse · Hallstead, PA
NPI 1811547904 · NPPES record last updated Sep 19, 2019
Key facts
- NPI
- 1811547904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 411011 (NY)
- Practice address
- 4121 Lower Rhiney Creek Rd
Hallstead, PA 18822-9006 - Phone
- (570) 967-2756
- NPI assigned
- Sep 19, 2019
- 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 |
|---|---|---|---|
| 411011 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 411011 | NY | Yes |
Addresses
Primary practice location
4121 Lower Rhiney Creek Rd
Hallstead, PA 18822-9006
Mailing address
4121 Lower Rhiney Creek Rd
Hallstead, PA 18822-9006
Phone (570) 967-2756
Other providers in Hallstead, PA
- Hallstead Family Pharmacy LLC
- Kirk S Hinkley IV
- Donna C Holinej
- Susan Marie Jackson
- Neal Juraska
- Joseph Patrick McKeon
- Todd Mitchell
- Andrea Moon
- Reddon Drug Co. Inc.
- Bernard Leo Remakus
All providers in Hallstead, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2019. 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.