Basic Information
| Provider Information | |||||||||
| NPI: | 1982025268 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRUPKA | ||||||||
| FirstName: | ALLISON | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 CLEMENTS BRIDGE ROAD | ||||||||
| Address2: | WOUND HEALING SOLUTIONS, LLC | ||||||||
| City: | BARRINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080071814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565478000 | ||||||||
| FaxNumber: | 8565471008 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 CLEMENTS BRIDGE ROAD | ||||||||
| Address2: | WOUND HEALING SOLUTIONS, LLC | ||||||||
| City: | BARRINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080071814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565478000 | ||||||||
| FaxNumber: | 8565471008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2014 | ||||||||
| LastUpdateDate: | 03/30/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | SP013448 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363LF0000X | SPO13756 | PA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | 26NJ00558400 | NJ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.