Individual
MRS. CHRISTINE KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
3505 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-0300
(815) 639-9362
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001445
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209001445
IL STATE LICENSE
IL
Enumeration date
10/21/2005
Last updated
03/15/2021
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