Provider Demographics
NPI:1437994597
Name:NORSKOW, KRYSTELLE (FNP)
Entity type:Individual
Prefix:
First Name:KRYSTELLE
Middle Name:
Last Name:NORSKOW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9606 SEDALIA TRL
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4424
Mailing Address - Country:US
Mailing Address - Phone:361-290-3800
Mailing Address - Fax:
Practice Address - Street 1:4030 RIVER HILL DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5606
Practice Address - Country:US
Practice Address - Phone:361-767-0303
Practice Address - Fax:361-767-1220
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1167888363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner