Individual
MRS. HEATHER MARIE KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
332 N MALL DR, APPLETON, WI 54913-8567
(920) 730-1309
Mailing address
897 MCKINLEY AVE, OMRO, WI 54963-2001
(920) 229-6978
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
163191-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163191-30
STATE OF WISCONSIN LICENSE
WI
Enumeration date
07/23/2018
Last updated
07/23/2018
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