Brough, Kristiauna Lynn

Brough, Kristiauna Lynn is an individual health care provider with primary practice located at 100 Professional Blvd , Daytona Beach FL 32114-3840. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Brough, Kristiauna Lynn can be contacted via phone (407) 898-2767.

Contact Information

Primary practice address
100 Professional Blvd Daytona Beach FL 32114-3840
Phone: (407) 898-2767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11035049 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11035049 Florida

Profile Details

NPI number 1154143352
LBN Legal business name Brough, Kristiauna Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2024
Last updated Nov 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154143352 NPPES
Florida MEDICAID 125017200

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