Provider Demographics
NPI:1316480593
Name:HAMON, KRISTI (RN)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:HAMON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:G
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:120 W 97TH ST
Mailing Address - Street 2:APT 12A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6471
Mailing Address - Country:US
Mailing Address - Phone:858-342-7819
Mailing Address - Fax:
Practice Address - Street 1:120 WEST 97TH STREET
Practice Address - Street 2:APT 12 A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-9225
Practice Address - Country:US
Practice Address - Phone:858-342-7819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY710767-1163W00000X
CA282775163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse