IndividualActive
Yelena Kruse, AGCNS-BC
NPI 1417320573 · Gerontology Clinical Nurse Specialist · San Rafael, CA
Provider details
- NPI number
- 1417320573
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGCNS-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4370 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 444-2349
Approximate (ZIP-level) locationGet directions
Mailing address
99 Montecillo Rd
San Rafael, CA 94903-3308
Registry dates
- Enumerated
- 2015-11-10
- Last updated
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.