Individual
MRS. AMY A EZBIANSKI KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10050 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2117
(772) 334-3811
Mailing address
10050 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2117
(772) 335-3500
(772) 344-3811
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9236500
FL
Other
Enumeration date
03/29/2006
Last updated
08/08/2022
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