Individual
SUSAN RENEE KRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, PCA, HHA
Contact information
Practice address
2033 BROOKHAVEN DR, APT 1, NIAGARA FALLS, NY 14304-7007
(716) 804-1826
Mailing address
2033 BROOKHAVEN DR, APT 1, NIAGARA FALLS, NY 14304-7007
(716) 804-1826
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
00288111
NY
376K00000X
Nurse's Aide
341969100503E
NY
Other
Enumeration date
07/07/2012
Last updated
07/07/2012
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