Individual
NINA KRASSILNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
930 MADISON AVE FL 5, MEMPHIS, TN 38103-7401
(901) 866-8013
Mailing address
1407 UNION AVE STE 700, MEMPHIS, TN 38104-3641
(901) 866-8622
(901) 302-2622
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
57058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038590
—
TN
Enumeration date
08/22/2018
Last updated
10/08/2018
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