MRS. HEATHER MARIE KRAUSE (NPI# 1619454790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619454790 |
Entity Type | Individual |
Full Name | MRS. HEATHER MARIE KRAUSE |
Credential | RN, BSN |
Practice Address |
332 N Mall Dr Appleton WI 54913-8567 |
Mailing Address |
897 Mckinley Ave Omro WI 54963-2001 |
Practice Telephone | 9207301309 |
Mailing Telephone | 9202296978 |
Enumeration Date | 2018-07-23 |
Last Update Date | 2018-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0121X |
Registered Nurse Specialization: Plastic Surgery |
163191-30 | WI | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | STATE OF WISCONSIN LICENSE | 163191-30 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114493475 | Heather Star Krause | Internal Medicine | 4801 Alberta Ave, El Paso, TX 79905 | 2018-10-15 |
1841665999 | Heather Krause | Speech-Language Pathologist | 215 N 12th St, Nebraska City, NE 68410-2064 | 2015-12-01 |
Street Address |
332 N MALL DR |
City | APPLETON |
State | WI |
Zip Code | 54913-8567 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
Find all providers in zip 54913 |
Taxonomy Code | 163WS0121X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Plastic Surgery |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.