Individual
MRS. ASAYA ANN CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15360
MN
363A00000X
Physician Assistant
54208
CA
363A00000X
Physician Assistant
Primary
AMD-1556-0
HI
363A00000X
Physician Assistant
PA9114297
FL
363AM0700X
Medical Physician Assistant
PA9114297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009560400
—
FL
01
—
1225266
WELLCARE
FL
01
—
5569125
CIGNA
FL
01
—
7513951
AETNA
FL
01
—
P01214789
RAILROAD MCR
FL
01
—
P1019777
FREEDOM
FL
01
—
P958302
OPTIMUM
FL
01
—
Y0J2W
BCBS OF FL
FL
Enumeration date
01/07/2011
Last updated
08/11/2026
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