Provider Demographics
NPI:1346425600
Name:KRASINSKI, JOANNA CATHERINE (MSN, APRN, BC, COHNS)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:CATHERINE
Last Name:KRASINSKI
Suffix:
Gender:F
Credentials:MSN, APRN, BC, COHNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MAIN STREET
Mailing Address - Street 2:MAILBOX 42
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609
Mailing Address - Country:US
Mailing Address - Phone:207-288-6096
Mailing Address - Fax:
Practice Address - Street 1:900 BROADWAY
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-0403
Practice Address - Country:US
Practice Address - Phone:207-288-6096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP151004363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health