Individual
LISA KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 W MESQUITE ST, GILBERT, AZ 85233-6411
(480) 926-1433
Mailing address
130 W MESQUITE ST, GILBERT, AZ 85233-6411
(480) 926-1433
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN196344
AZ
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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