Healthcare Provider Details

I. General information

NPI: 1043490865
Provider Name (Legal Business Name): ANNE KRAUSE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 CIRCLE DR
BURLINGTON WI
53105-9148
US

IV. Provider business mailing address

7523 184TH AVE
BRISTOL WI
53104-9138
US

V. Phone/Fax

Practice location:
  • Phone: 262-763-5025
  • Fax:
Mailing address:
  • Phone: 262-857-7523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: