Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YELENA KRUSE, AGCNS-BC
Active Sole ProprietorYELENA KRUSE, AGCNS-BC is a Gerontological Clinical Nurse Specialist healthcare provider located in SAN RAFAEL, California. NPI 1417320573 is currently active in the NPPES registry. Verify at CMS.
Gerontological Clinical Nurse Specialist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1417320573
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2015 (10.575686016987 yrs)
- Last Updated
- Feb 11, 2022
- Licenses
-
4370 (CA)4370 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
99 MONTECILLO RDSAN RAFAEL, CA, 949033308Browse CA providers · Browse ZIP 94903
- Phone
- 4154442349
- Primary Specialty
-
Gerontological Clinical Nurse Specialist
364SG0600X
- Additional Specialty
- Oncology Clinical Nurse Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.