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MISS KRYSTAL RENEE ALLISON RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1407921729
Individual Registrant:MISS KRYSTAL RENEE ALLISON RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
N7809 TOPPE RD WATERLOO, WI 53594 US
Tel: 920-988-2275 Fax: --
Tel: 920-988-2275 Fax: --
Contact information for business:
N7809 TOPPE RD WATERLOO, WI 53594 US
Tel: 920-988-2275 Fax: --
Tel: 920-988-2275 Fax: --
Registration Information:
NPI: 1407921729
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | WI |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 38215100 | WI | 05 |
