Individual
DESIREE LYNNE KRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021
(954) 265-6301
(954) 985-1434
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4488
(954) 454-5131
(954) 241-6908
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9460399
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
9460399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780014951
—
FL
Enumeration date
11/25/2013
Last updated
03/23/2021
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