Provider Demographics
NPI:1417846692
Name:WOYCHOWSKI, KRYSTINA MARIE (NP)
Entity type:Individual
Prefix:
First Name:KRYSTINA
Middle Name:MARIE
Last Name:WOYCHOWSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KRYSTINA
Other - Middle Name:
Other - Last Name:DESOMMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12214 MATISSE CIR UNIT 107
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4749
Mailing Address - Country:US
Mailing Address - Phone:352-464-7693
Mailing Address - Fax:
Practice Address - Street 1:146 S WEST SHORE BLVD
Practice Address - Street 2:STE 128 C
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2439
Practice Address - Country:US
Practice Address - Phone:813-358-6814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11040398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily