Individual
ALYSSA R KRUAYAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
915 W MONROE ST, SUITE 301, JACKSONVILLE, FL 32204-1177
(904) 353-8562
Mailing address
915 W MONROE ST, SUITE 301, JACKSONVILLE, FL 32204-1177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9186486
FL
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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