Individual
NICHOLAS FRED KRUZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDAC
Contact information
Practice address
401 2ND AVE SW, ALTOONA, IA 50009-1720
(515) 967-7502
Mailing address
401 2ND AVE SW, ALTOONA, IA 50009-1720
(515) 967-7502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230119-001760
—
IA
Enumeration date
01/19/2023
Last updated
01/19/2023
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