Individual ProviderKristal KirtisRegistered NurseNursing Service ProvidersPractice Address13290 Noel Rd Apt 265, Dallas, TX 75240-5658(201) 304-8606PECOS EnrollmentBased on the most recent information from CMS, provider Kristal Kirtis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1093296394Provider TypeIndividualFull NameKirtis, KristalCredentialRNGenderFemaleSole ProprietorNoEnumeration Date8/24/2018Last Updated8/24/2018Contact InformationPractice LocationPractice Address13290 Noel Rd Apt 265, Dallas, TX 75240-5658Phone(201) 304-8606FaxUnlisted FaxMailing LocationMailing Address13290 Noel Rd Apt 265, Dallas, TX 75240-5658Phone(201) 304-8606FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense948338Texas