Individual
KRISTINA VAN NIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 WARREN AVE, BREMERTON, WA 98337-1487
(360) 337-3776
Mailing address
400 WARREN AVE STE 200, BREMERTON, WA 98337-1467
(360) 337-3776
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
OT00001179
WA
225XP0200X
Pediatric Occupational Therapist
OT00001179
WA
363A00000X
Physician Assistant
PA61007880
WA
363AM0700X
Medical Physician Assistant
Primary
PA61007880
WA
Other
Enumeration date
08/29/2018
Last updated
03/13/2026
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