Individual
MICHELLE MARIE KRUTULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
851 COMMERCE BLVD STE 107, DICKSON CITY, PA 18519-1762
(570) 489-5561
(570) 489-5563
Mailing address
851 COMMERCE BLVD STE 107, DICKSON CITY, PA 18519-1762
(570) 489-5561
(570) 489-5563
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN240445L
PA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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