Individual
ANNA M KRUSEMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
770 12TH RD, PENDER, NE 68047-4102
(402) 922-3399
Mailing address
770 12TH RD, PENDER, NE 68047-4102
(402) 922-3399
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
158385
NE
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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