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Individual
JUDITH ANN KRUPALA
Active
Individual
JUDITH ANN KRUPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
245661
TX
363LF0000X
Family Nurse Practitioner
Primary
AP109489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210507402
—
TX
01
—
577062YK7Y
MEDICARE
TX
Enumeration date
09/06/2006
Last updated
07/21/2022
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