Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystle Amanda Fata

Individual provider Licensed Practical Nurse · NPI 1659707842

Krystle Amanda Fata is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2

Practice location Address checks out

2052 Tillotson Ave
Bronx, NY 10475-1560
Phone: (718) 671-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 683204 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 313088 (NY)

Record details

NPI number1659707842
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2013
Last updated in NPPESMay 14, 2015

Other providers in Bronx