MEDICARE: JULIE ELIZABETH KRINSKY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	APRN11034974	FL
2	390200000X	Student in an Organized Health Care Education/Training Program	RN9234452	FL

General Provider Information

NPI Number	:	1639915267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ELIZABETH KRINSKY APRN

Provider Business Mailing Address
First Line	:	3702 W PROMONTORY DR
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-2208
Country	:	US
Telephone Number	:	239-285-6923
Fax Number	:

Provider Business Practice Location Address
First Line	:	3702 W PROMONTORY DR
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-2208
Country	:	US
Telephone Number	:	239-285-6923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	12/15/2025

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