Individual
KRYSTAL MARIE RAFENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, FNP-BC
Contact information
Practice address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044
Mailing address
7000 84TH AVE, KENOSHA, WI 53142-7422
(262) 914-6696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9303-33
WI
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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