Provider Demographics
NPI:1306155270
Name:KRATOVIL, CHRISTIE ANNE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:ANNE
Last Name:KRATOVIL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 E. MILL PLAIN BLVD. STE 310
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664
Mailing Address - Country:US
Mailing Address - Phone:360-896-8963
Mailing Address - Fax:360-896-9002
Practice Address - Street 1:8614 E MILL PLAIN BLVD STE 310
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-2058
Practice Address - Country:US
Practice Address - Phone:360-896-8963
Practice Address - Fax:360-896-9002
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60189141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily