Individual provider · Type 1 NPI
Marta Lee Krissovich, ANP-BC, CWOCN-AP
Adult Health Nurse Practitioner · Port Townsend, WA
NPI number
1710045778
Active
Practice location
151 Sunset Blvd
Port Townsend, WA 98368-8913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | N260535011 (WA) |
| Gerontology Registered Nurse | 163WG0600X | RN60533319 (WA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1710045778
Marta Lee Krissovich, ANP-BC, CWOCN-AP's National Provider Identifier is 1710045778, issued on Dec 4, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Townsend, WA. The record was last updated on Mar 7, 2023.