MEDICARE: ELIZABETH ANNE KRUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A181021	IA

General Provider Information

NPI Number	:	1477380640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE KRUSE

Provider Business Mailing Address
First Line	:	321 MILL ST
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001-7712
Country	:	US
Telephone Number	:	712-568-2411
Fax Number	:	712-568-2014

Provider Business Practice Location Address
First Line	:	321 MILL ST
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001-7712
Country	:	US
Telephone Number	:	712-568-2411
Fax Number	:	712-568-2014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2024
Last Update Date	:	09/24/2025

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Directions to “ ELIZABETH ANNE KRUSE ” Practice Location

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