Individual
ALICIA CHRISTINE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1944
Mailing address
165 CHARLES DR, HAVERTOWN, PA 19083-1031
(210) 232-1127
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP022116
PA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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