| Doctor Name: | MRS. KARISSA IGNASZEWSKI |
| NPI Number: | 1518222355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP-C |
| License Number: | R169992-8 |
| Business Practice Address: | 905 Forest Ave E Mora, MN - 550511624 |
| Business Phone Number: | 3206796353 |
| Business Fax Number: | |
| Mailing Address: | 905 Forest Ave E, MORA |
| State: | MN |
| Postal Code: | 550511624 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2012 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | R169992-8 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |