Individual
KRYSTINA LYN POULIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
349 NILES CORHAND RD NE, WARREN, OH 44484-1976
(330) 372-0260
(330) 372-0261
Mailing address
349 NILES CORHAND RD NE, WARREN, OH 44484-1976
(330) 372-0260
(330) 372-0261
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0031937
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
RN.417282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006262
—
OH
Enumeration date
10/11/2013
Last updated
06/20/2025
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