Individual
MISS KRYSTA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P. N. P.
Contact information
Practice address
725 WELCH RD, 2 EAST PICU, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, 2 EAST PICU, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21666
CA
Other
Enumeration date
02/21/2012
Last updated
08/23/2015
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