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Individual

KRISTINA L KRUCHOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2341 S. FERN ST., SUITE 200, WASILLA, AK 99654-8589
(907) 357-1999
(907) 357-1990
Mailing address
2341 S. FERN ST., SUITE 200, WASILLA, AK 99654-8589
(907) 357-1999
(907) 357-1990

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
26581
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
950
AK

Other

Enumeration date
06/26/2006
Last updated
04/15/2019
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