Crisostomo, Richard

Crisostomo, Richard is an individual health care provider with primary practice located at 3505 E Meridian Park Loop Ste 200 , Wasilla AK 99654-7242. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Crisostomo, Richard can be contacted via phone (079) 357-4400.

Contact Information

Primary practice address
3505 E Meridian Park Loop Ste 200 Wasilla AK 99654-7242
Phone: (079) 357-4400
Fax: (907) 357-4410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X TAPRN701646 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN002619 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 132337 Alaska

Profile Details

NPI number 1245753656
LBN Legal business name Crisostomo, Richard
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2017
Last updated Jan 21st, 2020 - about 6 years 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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