Individual
ELENA KRIVULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 HAWLEY LN STE 1102, STRATFORD, CT 06614-1204
(203) 666-8145
Mailing address
8 HILSINGER RD, P.O. BOX 412, MOUNT TABOR, NJ 07878
(201) 919-2097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00892800
NJ
363LF0000X
Family Nurse Practitioner
F349313-01
NY
Other
Enumeration date
05/15/2023
Last updated
05/16/2023
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