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Marta Lee Krissovich, ANP-BC,CWOCN-AP
Gerontology Registered Nurse in Port Townsend, Washington
NPI 1710045778

Marta Lee Krissovich is a Gerontology Registered Nurse based in Port Townsend, WA and is specialized in Gerontology. Marta Lee Krissovich practices in Port Townsend, WA and has the professional credentials of ANP-BC,CWOCN-AP. The NPI Number for Marta Lee Krissovich is 1710045778 and holds a License No. N260535011 (Washington).

The current practice location address for Marta Lee Krissovich is 151 Sunset Blvd, Port Townsend, WA and can be reached out via phone at 360-316-6306. You can also correspond with Marta Lee Krissovich through the mailing address at 151 SUNSET BLVD, PORT TOWNSEND, WA - 98368-8913 (mailing address contact number: 360-316-6306).

Location: 151 Sunset Blvd, Port Townsend, WA, 98368-8913
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Provider Profile Details
NPI Number
1710045778
Provider Name
Marta Lee Krissovich
Credential
ANP-BC,CWOCN-AP
Provider Entity Type
Individual
Gender
Female
Address
151 Sunset Blvd, Port Townsend, WA, 98368-8913
Phone Number
360-316-6306
Fax Number
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N260535011 01 WA ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
2005458420 01 CERTIFIED FOOT CARE NURSE (CFCN) BY WOCNCB
RN60533319 01 WA REGISTERED NURSE LICENSE
2013652089 01 CERTIFIED WOUND, OSTOMY & CONTINENCE CARE NURSE-ADV. PRACTICE (CWOCN-AP), WOCNCB
2011014922 01 CERTIFIED GERONTOLOGICAL NURSE (RN-BC), ANCC
2008007311 01 ADULT NURSE PRACTITIONER-BOARD CERTIFIED (ANP-BC) BY ANCC
institution
Provider Business Practice Location Address Details
Address
151 Sunset Blvd
City
State
Zip
98368-8913
Phone Number
360-316-6306
Fax Number
person
Provider Business Mailing Address Details
Address
151 Sunset Blvd
City
State
Zip
98368-8913
Phone Number
360-316-6306
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Gerontology
Taxonomy
License No.
RN60533319 (Washington)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
N260535011 (Washington)
Definition
Definition to come...
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