Individual
CHRISTINA GEORGIA WASACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5 CARE LN, SARATOGA SPRINGS, NY 12866-8623
(518) 489-2663
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
688407
NY
363LF0000X
Family Nurse Practitioner
Primary
346434
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06227398
—
NY
Enumeration date
10/14/2014
Last updated
05/28/2025
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