Individual
MARY LOU KRAUITHOEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
15685 BROJAN DR, ELM GROVE, WI 53122-1014
(262) 784-3110
Mailing address
15685 BROJAN DR, ELM GROVE, WI 53122-1014
(262) 784-3110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72601-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72601-030
RN
WI
Enumeration date
06/25/2013
Last updated
06/25/2013
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