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Individual
BRANDON PAUL KRUSE
Active
Individual
BRANDON PAUL KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C; PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13567379-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202011497
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
65554
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP6140750
WA
363LP2300X
Primary Care Nurse Practitioner
65554
ID
Other
Enumeration date
08/26/2020
Last updated
05/17/2025
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