Individual
MRS. KRISTIN A. ANDERSON-CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-6940
Mailing address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-6940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
170979-030
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
5424-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5424-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001545
MEDICARE
WI
05
—
1558650705
—
WI
Enumeration date
03/28/2011
Last updated
04/04/2025
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