Individual
MRS. STEPHANIE MAXINE KRAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA ARNP
Contact information
Practice address
1525 WEST 5TH ST, STORM LAKE, IA 50588
(712) 732-4030
(712) 749-5114
Mailing address
207 STONEY POINT DR, STORM LAKE, IA 50588
(712) 732-8147
(712) 749-5114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D094044
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1227876
—
IA
01
—
42614
BCBS
IA
01
—
430072062
RAILROAD MEDICARE
IA
Enumeration date
04/25/2006
Last updated
05/01/2008
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