Individual
JODY LOUISE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
5535 DELMAR BLVD, SAINT LOUIS, MO 63112-3005
(314) 361-2273
Mailing address
824 YOSEMITE DR, SAINT LOUIS, MO 63122-2031
(314) 566-8104
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2013001000
MO
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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