Individual
MARTA LEE KRISSOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC, CWOCN-AP
Contact information
Practice address
151 SUNSET BLVD, PORT TOWNSEND, WA 98368-8913
(360) 316-6306
Mailing address
151 SUNSET BLVD, PORT TOWNSEND, WA 98368-8913
(360) 316-6306
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN60533319
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
N260535011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005458420
CERTIFIED FOOT CARE NURSE (CFCN) BY WOCNCB
—
01
—
2008007311
ADULT NURSE PRACTITIONER-BOARD CERTIFIED (ANP-BC) BY ANCC
—
01
—
2011014922
CERTIFIED GERONTOLOGICAL NURSE (RN-BC), ANCC
—
01
—
2013652089
CERTIFIED WOUND, OSTOMY & CONTINENCE CARE NURSE-ADV. PRACTICE (CWOCN-AP), WOCNCB
—
01
—
N260535011
ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
WA
01
—
RN60533319
REGISTERED NURSE LICENSE
WA
Enumeration date
12/04/2006
Last updated
03/07/2023
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