MRS. KRISTEN E. FLACK AGNP NPI 1144746140

NPI Information

  • NPI: 1144746140
  • Provider Name: MRS. KRISTEN E. FLACK, AGNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 1540 FLORIDA AVE
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 238-4800

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NPI Details

MRS. Kristen E. Flack, AGNP is a gerontology nurse practitioner in Modesto, CA. MRS. Kristen E. Flack, AGNP NPI is 1144746140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1540 FLORIDA AVE
MODESTO, CA
ZIP 95350-430
Phone: (209) 238-4800
Fax: (209) 238-4890

The enumeration date for this NPI number is 8/21/2017 and was last updated on 9/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN95078988CALIFORNIANo
2363LG0600XNurse PractitionerGerontologyNP95007308CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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