Individual
ELIZABETH MUNN KROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 GERVAIS ST, COLUMBIA, SC 29204-1805
(803) 744-0540
Mailing address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25864
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2021
Last updated
02/21/2024
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