Individual provider · Type 1 NPI
Pavel Krylov, NURSE PRACTITIONER
Family Nurse Practitioner · Sacramento, CA
NPI number
1114323029
Active
Practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
1161 Evelyn Ln
Sacramento, CA 95864-3754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | 86065943 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95025742 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114323029
Pavel Krylov, NURSE PRACTITIONER's National Provider Identifier is 1114323029, issued on Nov 5, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 5, 2023.