Individual
KELLY KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9278617
FL
363L00000X
Nurse Practitioner
ARNP9278617
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9278617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012857100
—
FL
01
—
APRN9278617
DOH
FL
Enumeration date
08/22/2013
Last updated
02/04/2026
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