| NPI | 1700107307 |
|---|---|
| Former Name | STEPHANIE R KRUPKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 210) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN 210) |
| 364S00000X Clinical Nurse Specialist (Licence: MN R174062-8) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-12-10 |