Provider Demographics
NPI:1023106283
Name:KRZYZEK, BARBARA ANN (ARNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:KRZYZEK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:900 MERIDIAN E
Mailing Address - Street 2:#19 302
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354
Mailing Address - Country:US
Mailing Address - Phone:253-826-4645
Mailing Address - Fax:253-891-2305
Practice Address - Street 1:620 W JAMES ST
Practice Address - Street 2:KING COUNTY CORRECTIONAL FACILITIES REGIONAL JUSTICE CE
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032
Practice Address - Country:US
Practice Address - Phone:206-205-2410
Practice Address - Fax:206-205-2439
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP30005133363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner