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NPI Code Detail

MEDICARE: ALLISON KRUSE

MEDICARE:   ALLISON  KRUSE
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
1163WP0200XPediatric Registered NurseRN265441GA

General Provider Information

NPI Number : 1033996822
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON KRUSE
Provider Business Mailing Address
First Line : 2532 N DECATUR RD APT 1321
Second Line :
City : DECATUR
State : GA
Zip : 30033-6177
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1405 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1060
Country : US
Telephone Number : 404-785-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2023
Last Update Date : 09/15/2023

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Directions to “ ALLISON KRUSE ” Practice Location

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