KRISTEN ASHLEY HALTOM RN NPI 1689196255

NPI Information

NPI: 1689196255
Provider Name: KRISTEN ASHLEY HALTOM, RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2979 ALLIED ST SUITE C
GREEN BAY, WI
ZIP 54304
Phone: (920) 337-6740
Get Directions

Kristen Ashley Haltom, RN is an addiction (substance use disorder) registered nurse in Green Bay, WI. Kristen Ashley Haltom, RN NPI is 1689196255. 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:

2979 ALLIED ST SUITE C
GREEN BAY, WI
ZIP 54304
Phone: (920) 337-6740

The enumeration date for this NPI number is 7/14/2017 and was last updated on 7/21/2022.

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
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	233644-30	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	391498501	MEDICAID	WISCONSIN

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: 5/5/2024

NPI Synchronization or Removal

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