Healthcare Provider Details

I. General information

NPI: 1457751406
Provider Name (Legal Business Name): CHRISTINE S KRAUSE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE S ARRINGTON

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2806 N NAVARRO ST STE J
VICTORIA TX
77901-3905
US

IV. Provider business mailing address

1908 N LAURENT ST STE 550
VICTORIA TX
77901-5468
US

V. Phone/Fax

Practice location:
  • Phone: 361-894-8745
  • Fax: 361-894-8748
Mailing address:
  • Phone: 361-572-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP126118
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: