IndividualActive
Kristyna Dorris, RN
NPI 1639826423 · Nutrition Support Registered Nurse · San Clemente, CA
Provider details
- NPI number
- 1639826423
- Entity type
- Individual
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 437684 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
115 Via Monte Picayo
San Clemente, CA 92673-6601
Phone: (949) 632-9043
Approximate (ZIP-level) locationGet directions
Mailing address
115 Via Monte Picayo
San Clemente, CA 92673
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.