Healthcare Provider Details

I. General information

NPI: 1396609871
Provider Name (Legal Business Name): KRISTY LYNN BEHRENS BSN, RN, CWCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 DALTON WAY SW STE 400
CEDAR RAPIDS IA
52404-2567
US

IV. Provider business mailing address

3500 DALTON WAY SW STE 400
CEDAR RAPIDS IA
52404-2567
US

V. Phone/Fax

Practice location:
  • Phone: 319-369-4340
  • Fax: 319-369-4341
Mailing address:
  • Phone: 319-369-4340
  • Fax: 319-369-4341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number119300
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: