Individual
MRS. JENNIFER THERESE KRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
Mailing address
T9376 N 33RD ST, WAUSAU, WI 54403-9482
(715) 370-1869
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4975-33
WI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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