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CRYSTAL KOSIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-C

Contact information

Practice address
765 SUZANNA DR, SELAH, WA 98942-8761
(509) 607-3898
(509) 607-3898
Mailing address
765 SUZANNA DR, SELAH, WA 98942-8761
(509) 607-3898
(509) 607-3898

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00149773
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN00149773
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61474106
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61474106
WA

Other

Enumeration date
02/21/2022
Last updated
09/10/2025
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