Provider Demographics
NPI:1194456160
Name:KRAVET, EMMA BELLE (RN)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:BELLE
Last Name:KRAVET
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 HUMISTON AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-1832
Mailing Address - Country:US
Mailing Address - Phone:914-325-3450
Mailing Address - Fax:
Practice Address - Street 1:60 HUMISTON AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06517-1832
Practice Address - Country:US
Practice Address - Phone:914-325-3450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2366010163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse