Individual
BEVERLY J KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-3800
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-3800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51898
CO
163WC0400X
Case Management Registered Nurse
51898
CO
163WR0400X
Rehabilitation Registered Nurse
51898
CO
208D00000X
General Practice Physician
51898
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012123
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
04/10/2008
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