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NPI Code Detail

MEDICARE: SARAH MITCHELL KRAUSE PA

MEDICARE: SARAH MITCHELL KRAUSE PA
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
1363A00000XPhysician Assistant001013365NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001013365OTHERNCLICENSE

General Provider Information

NPI Number : 1770261711
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MITCHELL KRAUSE PA
Provider Business Mailing Address
First Line : PO BOX 5105
Second Line :
City : BELFAST
State : ME
Zip : 04915-5100
Country : US
Telephone Number : 919-220-5255
Fax Number :
Provider Business Practice Location Address
First Line : 6019 OLEANDER DR STE 200
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-4813
Country : US
Telephone Number : 910-332-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 01/07/2025

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Directions to “ SARAH MITCHELL KRAUSE PA” Practice Location

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