Healthcare Provider Details

I. General information

NPI: 1174491096
Provider Name (Legal Business Name): KRISTINA CERRETA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW FEDERAL HWY STE 220
STUART FL
34994-1019
US

IV. Provider business mailing address

1006 10TH CT
PALM BEACH GARDENS FL
33410-5110
US

V. Phone/Fax

Practice location:
  • Phone: 772-444-8879
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11042186
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: