Individual
CAROLYN BACKES KROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
8635 W 3RD ST STE 795W, LOS ANGELES, CA 90048-6129
(310) 423-5874
(310) 423-0139
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-5874
(310) 423-0139
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704317212
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
95031121
CA
Other
Enumeration date
01/25/2021
Last updated
07/10/2025
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