Doctor Name: | JACQUELINE KRZEMINSKI |
NPI Number: | 1225125271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.N.P |
License Number: | 255134 |
Business Practice Address: | 269 Chatham Rd Harwich, MA - 026453309 |
Business Phone Number: | 5084321400 |
Business Fax Number: | 5084302333 |
Mailing Address: | Po Box 1413, WELLFLEET |
State: | MA |
Postal Code: | 026671413 |
Phone Number: | 5082400208 |
Fax Number: | 5082400499 |
NPI Enumeration Date: | 10/09/2006 |
NPI Last Update Date: | 10/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 255134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |