Individual
MS. NICHOL ANN KRIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5176 HILL ROAD EAST, LAKEPORT, CA 95453-6111
(707) 262-5000
Mailing address
8865 SERRANO WAY, KELSEYVILLE, CA 95451-9623
(707) 277-0661
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13422
CA
Other
Enumeration date
05/04/2007
Last updated
07/09/2007
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