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Individual

ELLE CRUZ KUNISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1850 E PARK AVE STE 302, STATE COLLEGE, PA 16803-6706
(814) 278-4680
(814) 235-1523
Mailing address
177 GHANER DR, STATE COLLEGE, PA 16803-1169

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP020893
PA
363LG0600X
Gerontology Nurse Practitioner
SP020893
PA
363LP2300X
Primary Care Nurse Practitioner
SP020893
PA

Other

Enumeration date
03/09/2018
Last updated
12/30/2020
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