person
Richard Crisostomo, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Wasilla, Alaska
NPI 1245753656

Richard Crisostomo is a Psychiatric/Mental Health Nurse Practitioner based in Wasilla, AK and is specialized in Psychiatric/Mental Health. Richard Crisostomo practices in Wasilla, AK and has the professional credentials of PMHNP-BC. The NPI Number for Richard Crisostomo is 1245753656 and holds a License No. TAPRN701646 (Alaska).

The current practice location address for Richard Crisostomo is 3505 E Meridian Park Loop Ste 200, Wasilla, AK and can be reached out via phone at 079-357-4400 and via fax at 907-357-4410. You can also correspond with Richard Crisostomo through the mailing address at 3505 E MERIDIAN PARK LOOP STE 200, WASILLA, AK - 99654-7242 (mailing address contact number: 079-357-4400).

Location: 3505 E Meridian Park Loop Ste 200, Wasilla, AK, 99654-7242
person
Provider Profile Details
NPI Number
1245753656
Provider Name
Richard Crisostomo
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
3505 E Meridian Park Loop Ste 200, Wasilla, AK, 99654-7242
Phone Number
079-357-4400
Fax Number
907-357-4410
Provider Enumeration Date
07/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3505 E Meridian Park Loop Ste 200
City
State
Zip
99654-7242
Phone Number
079-357-4400
Fax Number
907-357-4410
person
Provider Business Mailing Address Details
Address
3505 E Meridian Park Loop Ste 200
City
State
Zip
99654-7242
Phone Number
079-357-4400
Fax Number
907-357-4410
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
TAPRN701646 (Nevada)
Definition
Definition to come...
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