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Individual
KRYSTYNA F NAU
Active
Individual
KRYSTYNA F NAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSFA
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
002219
NY
2255A2300X
Athletic Trainer
Primary
AT003501
GA
246ZC0007X
Surgical Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162390
CSFA CERTIFICATION NUMBER
—
01
—
AT003501
ATHLETIC TRAINER LICENSE
GA
Enumeration date
09/03/2015
Last updated
03/30/2020
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