Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9468951 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 0024171861 | VA |
N | 363LG0600X | Nurse Practitioner - Gerontology | COA.14388-NP | OH |
NPI | 1033452040 |
---|---|
Provider Name | Morlinda M Kruegel |
First Address | Newport News, VA 23601-1318 |
Second Address | Williamsburg, VA 23185-2505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2013 |
Last Update Date | 05/11/2019 |