Individual provider · Type 1 NPI
Yelena Kruse, AGCNS-BC
Gerontology Clinical Nurse Specialist · San Rafael, CA
NPI number
1417320573
Active
Practice location
99 Montecillo Rd
San Rafael, CA 94903-3308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 4370 (CA) |
| Oncology Clinical Nurse Specialist | 364SX0200X | 4370 (CA) |
Gerontology Clinical Nurse Specialist: Definition to come...
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About NPI 1417320573
Yelena Kruse, AGCNS-BC's National Provider Identifier is 1417320573, issued on Nov 10, 2015. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in San Rafael, CA. The record was last updated on Feb 11, 2022.