Healthcare Provider Details

I. General information

NPI: 1477380640
Provider Name (Legal Business Name): ELIZABETH ANNE KRUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MILL ST
AKRON IA
51001-7712
US

IV. Provider business mailing address

321 MILL ST
AKRON IA
51001-7712
US

V. Phone/Fax

Practice location:
  • Phone: 712-568-2411
  • Fax: 712-568-2014
Mailing address:
  • Phone: 712-568-2411
  • Fax: 712-568-2014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA181021
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: