Provider Demographics
NPI:1952009607
Name:ONISICK, KRISTIN (MSN RN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:ONISICK
Suffix:
Gender:F
Credentials:MSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 CONTINENTAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-6585
Mailing Address - Country:US
Mailing Address - Phone:717-679-6634
Mailing Address - Fax:
Practice Address - Street 1:769 SALEM BLVD
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-6828
Practice Address - Country:US
Practice Address - Phone:570-542-1947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN684338163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health