Healthcare Provider Details

I. General information

NPI: 1578286142
Provider Name (Legal Business Name): KRISTINA ELIZABETH ENCALADA MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7369 SHERIDAN ST STE 203
HOLLYWOOD FL
33024-2776
US

IV. Provider business mailing address

7369 SHERIDAN ST STE 203
HOLLYWOOD FL
33024-2776
US

V. Phone/Fax

Practice location:
  • Phone: 954-369-4111
  • Fax: 954-350-0909
Mailing address:
  • Phone: 954-369-4111
  • Fax: 954-350-0909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11021913
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: