Individual
KRISTA J BURCKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP-C
Contact information
Practice address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-5151
Mailing address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AP61625812
WA
363L00000X
Nurse Practitioner
AP61290190
WA
363LF0000X
Family Nurse Practitioner
AP61290190
WA
Other
Enumeration date
03/03/2022
Last updated
11/04/2024
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