Mazzulla, Krystal
Mazzulla, Krystal is an individual health care provider with primary practice located at 3825 39Th Ave Ste 120 , Kenosha WI 53144-2043. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mazzulla, Krystal can be contacted via phone (262) 946-5752.Contact Information
Primary practice address
3825 39Th Ave Ste 120
Kenosha WI 53144-2043
Phone: (262) 946-5752
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 220566 | Wisconsin |
Profile Details
| NPI number | 1720786486 |
|---|---|
| LBN Legal business name | Mazzulla, Krystal |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2023 |
| Last updated | Feb 21st, 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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