Individual
KRYSTAL MISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 330-8785
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61230602
WA
363LF0000X
Family Nurse Practitioner
AP61230602
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2021
Last updated
10/13/2022
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