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Individual
MARY MARGARET KRZYSTOWCZYK
Active
Individual
MARY MARGARET KRZYSTOWCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
AG01200132
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
4704301134
MI
363LP2300X
Primary Care Nurse Practitioner
AG01200132
CO
Other
Enumeration date
10/02/2020
Last updated
07/16/2026
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