Healthcare Provider Details

I. General information

NPI: 1609783679
Provider Name (Legal Business Name): KERSTEEN FLORES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 W EATON AVE
TRACY CA
95376-3422
US

IV. Provider business mailing address

3687 JUNEFIELD ST
TRACY CA
95377-7117
US

V. Phone/Fax

Practice location:
  • Phone: 209-833-2228
  • Fax:
Mailing address:
  • Phone: 304-350-9266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95037372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: