Individual
REBECCA L KRZYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
42 N SAINT JOSEPH AVE STE 101, NILES, MI 49120-2203
(269) 687-4673
(269) 687-1798
Mailing address
42 N SAINT JOSEPH AVE STE 101, NILES, MI 49120-2203
(269) 687-4673
(269) 687-1798
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704271704
MI
Other
Enumeration date
09/12/2019
Last updated
10/26/2023
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