Marshall, Krystal K

Marshall, Krystal K is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Marshall, Krystal K can be contacted via phone (414) 266-6820.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 266-6820
Fax: (414) 266-6979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 041409825 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71007041A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 13786 Wisconsin

Profile Details

NPI number 1760915854
LBN Legal business name Marshall, Krystal K
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Apr 8th, 2024 - about 8 months ago

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 1760915854 NPPES
Indiana MEDICAID 300020844
Indiana Other P02198221

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