Individual
KRISTA SUE KIERSTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 538-4312
Mailing address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 538-4312
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
276549
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276549
WISCONSIN NURSE AIDE REGISTRY
WI
Enumeration date
06/11/2009
Last updated
06/11/2009
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