Judi M Kruse is a Family in Lake Tapawingo, Missouri. Judi M Kruse practices all healthcare services and medical treatments related to Family. The NPI Number for Judi M Kruse is 1376625541. The last update date is 2010-01-07.
Judi M Kruse's current location address is 79 Beach Dr, Lake Tapawingo, Missouri. You can contact this provider via phone number 8168038542. The mailing address for Judi M Kruse is 79 Beach Dr, Lake Tapawingo, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judi M Kruse |
|---|---|
| Address | 79 Beach Dr, Lake Tapawingo, Missouri |
| Phone Number | 8168038542 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN,BC |
NPI Number Detail
| NPI Number | 1376625541 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2010-01-07 |
Provider Mailing Address Detail
| Address | 79 Beach Dr |
|---|---|
| City | Lake Tapawingo |
| State | Missouri (MO) |
| Post Code | 640159686 |
| Phone Number | 8168038542 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN075514 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 428502108 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Judi M Kruse by the Centers for Medicare & Medicaid Services?
The Judi M Kruse has been issued the NPI (National Provider Identifier) 1376625541. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Judi M Kruse is geographically located?
The Judi M Kruse is physically situated at the following location: 79 Beach Dr, Lake Tapawingo, MO, 640159686.
What is Judi M Kruse's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judi M Kruse is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Judi M Kruse receive its 1376625541 assignment from the Centers for Medicare & Medicaid Services?
The Judi M Kruse was assigned its 1376625541 by the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date were the details related to Judi M Kruse most recently updated or revised?
The information pertaining to Judi M Kruse, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-07.