MEDICARE: ADRIAN BRYSON KRAUSE 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
1	163WE0003X	Emergency Registered Nurse	229583	NC
2	363L00000X	Nurse Practitioner	30673	SC
3	363L00000X	Nurse Practitioner	5017084	NC

General Provider Information

NPI Number	:	1619690104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN BRYSON KRAUSE FNP-C

Provider Business Mailing Address
First Line	:	307 DEER MEADOW CIR
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-2870
Country	:	US
Telephone Number	:	828-803-1528
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 STONEMARK LN STE 100C
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-3881
Country	:	US
Telephone Number	:	888-704-4661
Fax Number	:	888-239-2595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2022
Last Update Date	:	08/13/2025

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