Provider Demographics
NPI:1881128783
Name:BEGALSKE, KRISTA R (ARNP)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:R
Last Name:BEGALSKE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:IA
Mailing Address - Zip Code:50674
Mailing Address - Country:US
Mailing Address - Phone:563-578-3275
Mailing Address - Fax:563-578-2146
Practice Address - Street 1:909 W 1ST STREET
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:IA
Practice Address - Zip Code:50674
Practice Address - Country:US
Practice Address - Phone:563-578-3275
Practice Address - Fax:563-578-2146
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA134307363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily