Kraus, Angelica Ray

Kraus, Angelica Ray is an sole proprietor health care provider with primary practice located at 128 Lynwood Ln , Ormond Beach FL 32174-4229. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kraus, Angelica Ray can be contacted via phone (386) 453-8680.

Contact Information

Primary practice address
128 Lynwood Ln Ormond Beach FL 32174-4229
Phone: (386) 453-8680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1093378416
LBN Legal business name Kraus, Angelica Ray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2019
Last updated Oct 27th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093378416 NPPES
Florida Other PA9113694 FL DEPARTMENT OF HEALTH

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