KRYSTLE MICHELLE WISNASKY

MARYVILLE, IL
NPI1134753825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.020939)
Enumeration Date2020-03-03
Last Update Date2025-03-17
Business Address
KRYSTLE MICHELLE WISNASKY FNP-BC
6812 STATE ROUTE 162 STE 200
MARYVILLE, IL 62062-8562
Phone number: 618-288-0900
Mailing Address
KRYSTLE MICHELLE WISNASKY FNP-BC
PO BOX 14369
SAINT LOUIS, MO 63178-4369
Phone number: 314-567-6071
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