Individual
KRISTA JANISZEWSKI BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, WCC, OMS
Contact information
Practice address
16635 N 43RD AVE, PHOENIX, AZ 85053-2707
(623) 249-0741
Mailing address
16635 N 43RD AVE, PHOENIX, AZ 85053-2707
(623) 249-0741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN164452
AZ
363LF0000X
Family Nurse Practitioner
Primary
318838
AZ
Other
Enumeration date
01/06/2025
Last updated
11/06/2025
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