Individual
VLADLEN A KURNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN, CHPN
Contact information
Practice address
71 ALDER AVE, WAYNE, NJ 07470-6131
(551) 795-5761
Mailing address
525 UNION BLVD, TOTOWA, NJ 07512-2442
(551) 795-5761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
612057
NY
363L00000X
Nurse Practitioner
Primary
26NJ01132300
NJ
363LA2200X
Adult Health Nurse Practitioner
F310210
NY
Other
Enumeration date
03/19/2020
Last updated
03/02/2022
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