Individual
KRISTIN E DRUIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
Mailing address
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107-5002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP01700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103283261
—
PA
01
—
571896
MEDICARE
PA
Enumeration date
12/12/2016
Last updated
03/17/2018
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