Krass, Desiree Lynne
Krass, Desiree Lynne is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Krass, Desiree Lynne can be contacted via phone (954) 265-6301.Contact Information
Primary practice address
3501 Johnson St
Hollywood FL 33021
Phone: (954) 265-6301
Fax: (954) 985-1434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | 9460399 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 9460399 | Florida |
Profile Details
NPI number | 1780014951 |
---|---|
LBN Legal business name | Krass, Desiree Lynne |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2013 |
Last updated | Mar 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780014951 | NPPES |
Florida | MEDICAID | 1780014951 |
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