Individual
MISSOURI KRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2215 SAN JUAN AVE, LA JUNTA, CO 81050-3323
(719) 363-1533
(719) 363-1534
Mailing address
2215 SAN JUAN AVE, LA JUNTA, CO 81050-3323
(719) 363-1533
(719) 363-1534
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0992545
CO
Other
Enumeration date
09/15/2016
Last updated
07/14/2023
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