| Doctor Name: | KRISTY J ANDERSON |
| NPI Number: | 1104284033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP60630731 |
| Business Practice Address: | 5 Ne 4th St Ste A Coupeville, WA - 982393630 |
| Business Phone Number: | 3606781515 |
| Business Fax Number: | |
| Mailing Address: | 2291 Roberts Pond Ln, COUPEVILLE |
| State: | WA |
| Postal Code: | 982393127 |
| Phone Number: | 3609690805 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2016 |
| NPI Last Update Date: | 02/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60630731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |