Individual
MS. TAMERA S KRUKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2104 W LABURNUM AVE, RICHMOND, VA 23227-4357
(804) 354-8108
(804) 354-8075
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166698
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024166698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010228395
—
VA
Enumeration date
07/18/2006
Last updated
02/27/2019
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