Individual provider · Type 1 NPI
Anna Kryuchkova, APN
Adult Health Nurse Practitioner · Fair Lawn, NJ
NPI number
1679121099
Active
Practice location
17-02 Landzettel Way
Fair Lawn, NJ 07410-5920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00954300 (NJ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00954300 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1679121099
Anna Kryuchkova, APN's National Provider Identifier is 1679121099, issued on Aug 28, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fair Lawn, NJ. The record was last updated on Aug 28, 2019.