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General NPI Number Information
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NPI Number | 1861236770
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Entity Type | Individual
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Provider Name | ALAINA MARIE KRYSZAK FNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2024
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1945 ROANOKE BLVD
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City | SALEM
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State | VA
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Zip | 24153-6408
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Country | US
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Telephone | 540-345-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 137 WILDWOOD DR
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City | BLUE RIDGE
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State | VA
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Zip | 24064-1263
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Country | US
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Telephone | 931-627-5234
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024190794
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 259545
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License Number State | TN
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