Individual
PATRICIA KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6410 BEACH BLVD, JACKSONVILLE, FL 32216-2813
(904) 493-6963
(904) 396-2464
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP2758622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064239800
—
FL
05
—
308843000
—
FL
Enumeration date
04/25/2007
Last updated
01/26/2015
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