Individual
LISA KRAWIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASST
Contact information
Practice address
1000 BROADSTONE WAY, APEX, NC 27502-5736
(718) 358-9841
Mailing address
1000 BROADSTONE WAY, APEX, NC 27502-5736
(718) 358-9841
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
562135
NC
376K00000X
Nurse's Aide
NA91278956
CT
376K00000X
Nurse's Aide
Primary
NYNC0463844R
NY
Other
Enumeration date
09/15/2023
Last updated
05/30/2024
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