MEDICARE: AFREEN KISTEN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11001313	FL

General Provider Information

NPI Number	:	1376005488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFREEN KISTEN FNP-C

Provider Business Mailing Address
First Line	:	50 SW 10TH ST APT 510
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-4129
Country	:	US
Telephone Number	:	631-327-9686
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 SW 10TH ST APT 510
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-4129
Country	:	US
Telephone Number	:	631-327-9686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2019
Last Update Date	:	07/17/2025

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Directions to “ AFREEN KISTEN FNP-C” Practice Location

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