Kruse, Yelena

Kruse, Yelena is an sole proprietor health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Oncology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kruse, Yelena can be contacted via phone (415) 444-2349.

Contact Information

Primary practice address
99 Montecillo Rd San Rafael CA 94903-3308
Phone: (415) 444-2349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 4370 California
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 4370 California

Profile Details

NPI number 1417320573
LBN Legal business name Kruse, Yelena
Credentials AGCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2015
Last updated Feb 11th, 2022 - about 4 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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