Individual
ERICA J KRAUSE-WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
50 N 4TH ST, LANSING, IA 52151-7729
(563) 538-4874
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109657
IA
363LF0000X
Family Nurse Practitioner
2191
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43988700
—
WI
Enumeration date
06/22/2005
Last updated
10/13/2015
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