Individual
MARTA LEE KRISSOVICH
Active
Individual
MARTA LEE KRISSOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC, CWOCN-AP
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
Update your record
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