Individual
KAREN H KRUSINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
551 LINN ST, ALLEGAN, MI 49010-1595
(269) 686-5833
(269) 686-5437
Mailing address
551 LINN ST, ALLEGAN, MI 49010-1595
(269) 686-5802
(269) 686-5896
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704209805
MI
363LF0000X
Family Nurse Practitioner
Primary
4704209805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KK209805
STATE LICENSE
MI
Enumeration date
08/17/2007
Last updated
04/25/2017
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