Individual
MEGAN M KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, CPNP-AC
Contact information
Practice address
1010 RANGE LINE ST, COLUMBIA, MO 65201-4565
(573) 476-0022
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2022035164
MO
363LP0222X
Critical Care Pediatric Nurse Practitioner
2022035164
MO
Other
Enumeration date
09/05/2022
Last updated
12/11/2023
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