Individual
MELISSA KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15999 BERWICK TPKE, GILLETT, PA 16925-9145
(607) 857-7903
Mailing address
15999 BERWICK TPKE, GILLETT, PA 16925-9145
16078577903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
323322
NY
164W00000X
Licensed Practical Nurse
PN303173
PA
251J00000X
Nursing Care Agency
Primary
323322
NY
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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