Individual
KRISLIN LOUKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 ROUTE 34 STE 212, COLTS NECK, NJ 07722-2519
(732) 683-0099
Mailing address
1 ANDREW DR, TINTON FALLS, NJ 07753-7914
(732) 500-3553
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00626600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00626600
NJ LICENE NUMBER
NJ
Enumeration date
03/23/2016
Last updated
11/09/2016
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