Individual
MS. THEADORA KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
105 31ST ST, ALTOONA, PA 16602-1834
(814) 943-9889
Mailing address
105 31ST ST, ALTOONA, PA 16602-1834
(814) 943-9889
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP-005157-M
PA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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