Individual
KRISTINA WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP, PMHNP-BC
Contact information
Practice address
614 PENNSYLVANIA AVE APT 2, ELIZABETH, NJ 07201-1265
(973) 592-5750
Mailing address
614 PENNSYLVANIA AVE APT 2, ELIZABETH, NJ 07201-1265
(973) 592-5750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
309685
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404316
NY
Other
Enumeration date
08/26/2022
Last updated
05/04/2023
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