JUDITH ANN KRUPALA NURSE PRACTITIONER - NPI 1861595936

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Judith Ann Krupala Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH ANN KRUPALA NURSE PRACTITIONER (NPI 1861595936) is an individual family provider in Cuero, Texas, licensed in Texas (AP109489) and active in the NPI registry since September 2006. She maintains a secondary practice location in Goliad.

NPPES Registry Identity

NPI1861595936

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJUDITH ANN KRUPALACredential: NURSE PRACTITIONER

Location Address1109 E BROADWAY STCuero, TX 77954-2108

Mailing Address1109 E Broadway StCuero, TX 77954-2108 · (361) 275-2925

Phone(361) 275-2800

Fax(361) 275-8791

Sole ProprietorNo

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1861595936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP109489

Also ListedNurse PractitionerTaxonomy 363L00000X · License 245661 (TX)

1109 E BROADWAY ST, Cuero, TX 77954

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Secondary Practice Location 1

Location 1139 W FranklinGoliad, TX 77963 · Phone (361) 645-8235 · Fax (361) 645-3282

Other Identifiers 2

Medicaid210507402TX

Other577062YK7YTX · Medicare