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Individual

DEBORAH O KRAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
101 E WT HARRIS BLVD, BUILDING 1000, SUITE 1110, CHARLOTTE, NC 28262-3485
(704) 863-9850
(704) 863-9851
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 863-9850
(704) 863-9851

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111830
NC
363L00000X
Nurse Practitioner
5005281
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902186968
NC
05
NP3072
SC
Enumeration date
08/23/2011
Last updated
01/03/2017
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