Individual
ELENA MIHAELA KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
415 ECHURCH ST, NW SUITE 4, HUNTSVILLE, AL 35801
(256) 489-0757
Mailing address
828 OLD COVE ROAD, OWENS CROSS ROADS, AL 35763
(903) 293-3453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125979
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
PENDING
—
Enumeration date
09/18/2020
Last updated
09/18/2020
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