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NPI Code Detail

MEDICARE: KATRINA CRONAUER RN

MEDICARE: KATRINA CRONAUER RN
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse4704261214MI

General Provider Information

NPI Number : 1225988496
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA CRONAUER RN
Provider Business Mailing Address
First Line : 2522 TEEL AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-3125
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3475 BELLE CHASE WAY
Second Line :
City : LANSING
State : MI
Zip : 48911-4252
Country : US
Telephone Number : 517-744-7389
Fax Number : 517-882-3633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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