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NPI Code Detail

MEDICARE: MRS. KRISTIN A. ANDERSON-CRONIN PMHNP-BC

MEDICARE: MRS. KRISTIN A. ANDERSON-CRONIN PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse170979-030WI
2163WP0808XPsychiatric/Mental Health Registered Nurse5424-33WI
3363LP0808XPsychiatric/Mental Health Nurse Practitioner5424-33WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000001545OTHERWIMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558650705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN A. ANDERSON-CRONIN PMHNP-BC
Provider Business Mailing Address
First Line : 3150 GERSHWIN DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-4328
Country : US
Telephone Number : 920-391-6940
Fax Number :
Provider Business Practice Location Address
First Line : 3150 GERSHWIN DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-4328
Country : US
Telephone Number : 920-391-6940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2011
Last Update Date : 04/04/2025

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Directions to “ MRS. KRISTIN A. ANDERSON-CRONIN PMHNP-BC” Practice Location

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