| NPI | 1073027942 |
|---|---|
| Former Name | KRYSTA ROSE CARICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61052022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 147512) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA RN60378121) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN60378121) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA RN60378121) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61052022) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 147513) | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-08-25 |