Individual
KRISTIN STANISZEWSKI
Active
Individual
KRISTIN STANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
P62779
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP9600
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101001097
—
PA
01
—
Z221266
MEDICARE
AZ
Enumeration date
06/30/2005
Last updated
05/20/2019
Update your record
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