Individual
KRISTIN STANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4550 E BELL RD STE 170, PHOENIX, AZ 85032-9385
(480) 443-8400
(480) 443-8697
Mailing address
4550 E BELL RD STE 170, PHOENIX, AZ 85032-9385
(480) 443-8400
(480) 443-8697
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
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