Healthcare Provider Details

I. General information

NPI: 1902908122
Provider Name (Legal Business Name): KRISTINE M TROUT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTINE MARIE TROUT ARNP

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3414 PEACHTREE RD NE STE 340
ATLANTA GA
30326-1137
US

IV. Provider business mailing address

1600 BUDINGER AVE STE D
SAINT CLOUD FL
34769-6005
US

V. Phone/Fax

Practice location:
  • Phone: 425-658-0151
  • Fax: 844-597-0331
Mailing address:
  • Phone: 407-498-3681
  • Fax: 407-892-7297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9304215
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: