Provider Demographics
NPI:1891677811
Name:BRAYTON, KRISTIN M (RN, MSN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:M
Last Name:BRAYTON
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:M
Other - Last Name:BRUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN
Mailing Address - Street 1:1976 STONEY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:GRANTHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03753-2451
Mailing Address - Country:US
Mailing Address - Phone:908-268-5379
Mailing Address - Fax:908-268-5379
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-0001
Practice Address - Country:US
Practice Address - Phone:603-650-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH066542-21163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy