Individual
KRISTI JO KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
226 GARDEN BROOK DR, MADISON, AL 35758-7886
(719) 351-9175
Mailing address
226 GARDEN BROOK DR, MADISON, AL 35758-7886
(719) 351-9175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-163577
AL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
1-163577
AL
2080P0006X
Developmental - Behavioral Pediatrics Physician
1-163577
AL
363L00000X
Nurse Practitioner
1-163577
AL
363LF0000X
Family Nurse Practitioner
Primary
1-163577
AL
363LP0200X
Pediatric Nurse Practitioner
1-163577
AL
Other
Enumeration date
01/26/2021
Last updated
09/18/2025
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