Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Mazzulla, RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1720786486

Krystal Mazzulla, RN is an Addiction (Substance Use Disorder) Registered Nurse in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3825 39th Ave Ste 120
Kenosha, WI 53144-2043
Phone: (262) 946-5752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 220566 (WI)

Record details

NPI number1720786486
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address3825 39th Ave Ste 120, Kenosha, WI 53144-2043

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