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Individual

MS. KAREN L KRUSTAPENTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
701 ENFIELD ST, SPRINGFIELD MEDICAL ASSOCIATES, ENFIELD, CT 06082-2961
(860) 741-6058
(860) 741-6864
Mailing address
2150 MAIN STREET, SPRINGFIELD, MA 01104
(413) 739-5676
(413) 739-2278

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000912
CT
363L00000X
Nurse Practitioner
163873
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP3080
BLUE CROSS
MA
Enumeration date
06/24/2006
Last updated
02/22/2010
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