Provider Demographics
NPI:1598496929
Name:KRYSKOW, ARIANNE BETH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ARIANNE
Middle Name:BETH
Last Name:KRYSKOW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:ARIANNE
Other - Middle Name:BETH
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:170 US ROUTE 1 STE 200
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2168
Mailing Address - Country:US
Mailing Address - Phone:207-482-0188
Mailing Address - Fax:888-642-8601
Practice Address - Street 1:170 US ROUTE 1 STE 200
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2168
Practice Address - Country:US
Practice Address - Phone:207-482-0188
Practice Address - Fax:888-642-8601
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YS0200X
MERN73655163W00000X
MECNP221150363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No163W00000XNursing Service ProvidersRegistered Nurse