Krysiak, Tina Nelle

Krysiak, Tina Nelle is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Krysiak, Tina Nelle can be contacted via phone (937) 641-3000.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.022225 Ohio

Profile Details

NPI number 1316906126
LBN Legal business name Krysiak, Tina Nelle
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316906126 NPPES
Ohio MEDICAID 0291051

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