Individual provider · Type 1 NPI
Mary Margaret Krzystowczyk, NP
Primary Care Nurse Practitioner · Traverse City, MI
NPI number
1912504978
Active
Practice location
1105 Sixth St
Traverse City, MI 49684-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704301134 (MI) |
| Gerontology Nurse Practitioner | 363LG0600X | AG01200132 (CO) |
| Primary Care Nurse Practitioner | 363LP2300X | AG01200132 (CO) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1912504978
Mary Margaret Krzystowczyk, NP's National Provider Identifier is 1912504978, issued on Oct 2, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Traverse City, MI. The record was last updated on Jul 16, 2026.