Individual
MRS. NICOLE SANTOS KRAESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
109 DANBURY RD STE 4, RIDGEFIELD, CT 06877-4109
(203) 947-6981
Mailing address
5 DELTA AVE, DANBURY, CT 06810-7501
(203) 312-3571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
089130
CT
163W00000X
Registered Nurse
578574-1
NY
363LF0000X
Family Nurse Practitioner
Primary
8135
CT
363LF0000X
Family Nurse Practitioner
F343366-1
NY
Other
Enumeration date
11/15/2010
Last updated
04/30/2024
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