Provider Demographics
NPI:1790038735
Name:KRYNICKI, ELIZABETH (ANP-BC APRN)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:
Last Name:KRYNICKI
Suffix:
Gender:F
Credentials:ANP-BC APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 WILDCAT RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06013-2400
Mailing Address - Country:US
Mailing Address - Phone:860-877-3986
Mailing Address - Fax:413-224-6403
Practice Address - Street 1:28 WILDCAT RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06013-2400
Practice Address - Country:US
Practice Address - Phone:860-877-3986
Practice Address - Fax:413-224-6403
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT066719163W00000X
CT2012006531363L00000X
CT005160363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner