Healthcare Provider Details

I. General information

NPI: 1184496937
Provider Name (Legal Business Name): DANIEL THOMAS KRAUS NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 E BASELINE RD STE 425
GILBERT AZ
85234-0049
US

IV. Provider business mailing address

2451 E BASELINE RD STE 425
GILBERT AZ
85234-0049
US

V. Phone/Fax

Practice location:
  • Phone: 480-494-2770
  • Fax: 480-494-2771
Mailing address:
  • Phone: 480-494-2770
  • Fax: 480-494-2771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number291183
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number291183
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number291183
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: