Brondstater, Kirsten N

Brondstater, Kirsten N is an individual health care provider with primary practice located at 1605 W Fairbanks Ave , Winter Park FL 32789-4603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brondstater, Kirsten N can be contacted via phone (407) 975-0200.

Contact Information

Primary practice address
1605 W Fairbanks Ave Winter Park FL 32789-4603
Phone: (407) 975-0200
Fax: (407) 975-0209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002279 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9107257 Florida

Profile Details

NPI number 1275749053
LBN Legal business name Brondstater, Kirsten N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Sep 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275749053 NPPES
Virginia Other P00657230 MEDICARE RR

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