Krystal Marie Del Rosario, RN

Individual provider Active NPI Registered Nurse · Spanaway, WA

NPI 1649829243 · NPPES record last updated Sep 5, 2019

Key facts

NPI
1649829243
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN60327145 (WA)
Practice address
14618 17TH Avenue CT S
Spanaway, WA 98387-9074
Phone
(253) 431-2438
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60327145WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60327145 WA Yes

Addresses

Primary practice location

14618 17TH Avenue CT S
Spanaway, WA 98387-9074

Mailing address

14618 17TH Avenue CT S
Spanaway, WA 98387-9074
Phone (253) 431-2438

Other names

  • Krystal Marie Warren Former name

Other providers in Spanaway, WA

All providers in Spanaway, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.