Provider Demographics
NPI:1861236770
Name:KRYSZAK, ALAINA MARIE (FNP)
Entity type:Individual
Prefix:MS
First Name:ALAINA
Middle Name:MARIE
Last Name:KRYSZAK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24064-1263
Mailing Address - Country:US
Mailing Address - Phone:931-627-5234
Mailing Address - Fax:
Practice Address - Street 1:1945 ROANOKE BLVD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6408
Practice Address - Country:US
Practice Address - Phone:540-345-3894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN259545163W00000X
VA0024190794363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse