Individual
JULIAN C KRISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, CRNP
Contact information
Practice address
161 CECIL B MOORE AVE APT 204, PHILADELPHIA, PA 19122-3243
(215) 585-2144
Mailing address
161 CECIL B MOORE AVE APT 204, PHILADELPHIA, PA 19122-3243
(215) 585-2144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
358938
NY
363LF0000X
Family Nurse Practitioner
Primary
SP032713
PA
Other
Enumeration date
05/07/2025
Last updated
02/27/2026
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