Provider Demographics
NPI:1346057833
Name:KRULEWICH, IONELA M
Entity type:Individual
Prefix:
First Name:IONELA
Middle Name:M
Last Name:KRULEWICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IONELA
Other - Middle Name:M
Other - Last Name:PANTURU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IONELA KAYE
Mailing Address - Street 1:600 CATOOSA RD
Mailing Address - Street 2:
Mailing Address - City:WARTBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37887-4033
Mailing Address - Country:US
Mailing Address - Phone:865-816-8330
Mailing Address - Fax:
Practice Address - Street 1:600 CATOOSA RD
Practice Address - Street 2:
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887-4033
Practice Address - Country:US
Practice Address - Phone:865-816-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No253Z00000XAgenciesIn Home Supportive Care