Individual
ANDREW KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 973-2144
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 973-2144
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MRM-2291
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2023
Last updated
08/18/2025
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