Healthcare Provider Details

I. General information

NPI: 1376358432
Provider Name (Legal Business Name): KRIZZIA KRIZZEL SORIANO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1362 E STROOP RD
KETTERING OH
45429-4926
US

IV. Provider business mailing address

1362 E STROOP RD
KETTERING OH
45429-4926
US

V. Phone/Fax

Practice location:
  • Phone: 937-643-0015
  • Fax: 937-643-0016
Mailing address:
  • Phone: 937-643-0015
  • Fax: 937-643-0016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038620
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: