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Individual

GINA M. KRAKOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4837
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4837

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.06476-NP
OH
363LP0200X
Pediatric Nurse Practitioner
R192300
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1030584
DC

Other

Enumeration date
04/02/2007
Last updated
02/03/2016
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