Individual
THERESA DIANE KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
2309 2ND RD, PALMER, NE 68864-1130
(605) 830-1563
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
52163
NE
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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