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NPI Code Detail

MEDICARE: SUZANNE KRAUSE MSN, RN, FNP-C

MEDICARE:   SUZANNE  KRAUSE  MSN, RN, FNP-C
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
1363LF0000XFamily Nurse PractitionerAP131371TX

General Provider Information

NPI Number : 1407209133
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE KRAUSE MSN, RN, FNP-C
Provider Business Mailing Address
First Line : 19179 BLANCO RD
Second Line : STE 105-198
City : SAN ANTONIO
State : TX
Zip : 78258-4042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19179 BLANCO RD
Second Line : STE 105-198
City : SAN ANTONIO
State : TX
Zip : 78258-4042
Country : US
Telephone Number : 714-875-2558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2016
Last Update Date : 06/01/2017

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Directions to “ SUZANNE KRAUSE MSN, RN, FNP-C” Practice Location

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