Individual
JEAN ELISABETH KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
4400 37TH AVE S, SEATTLE, WA 98118-1609
(206) 296-4650
Mailing address
2533 13TH AVE S, SEATTLE, WA 98144-5008
(206) 709-7912
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30002243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9610775
—
WA
Enumeration date
11/07/2006
Last updated
07/08/2007
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