Krukiel, Tamera S

Krukiel, Tamera S is an individual health care provider with primary practice located at 2104 W Laburnum Ave , Richmond VA 23227-4357. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Krukiel, Tamera S can be contacted via phone (804) 354-8108.

Contact Information

Primary practice address
2104 W Laburnum Ave Richmond VA 23227-4357
Phone: (804) 354-8108
Fax: (804) 354-8075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024166698 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024166698 Virginia

Profile Details

NPI number 1871512459
LBN Legal business name Krukiel, Tamera S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871512459 NPPES
Virginia MEDICAID 010228395

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