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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 11038422 | Florida |
| 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 16th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760915854 | NPPES |
| Indiana | Other | P02198221 | MEDICARE RR |
| Indiana | MEDICAID | 300020844 | MEDICARE RR |
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