Krause, Heather Marie

Krause, Heather Marie is an individual health care provider with primary practice located at 332 N Mall Dr , Appleton WI 54913-8567. She recently has only one registered license in Nursing Service Providers / Plastic Surgery, which is considered as her primary health care specialty. Krause, Heather Marie can be contacted via phone (920) 730-1309.

Contact Information

Primary practice address
332 N Mall Dr Appleton WI 54913-8567
Phone: (920) 730-1309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Plastic Surgery 163WS0121X 163191-30 Wisconsin

Profile Details

NPI number 1619454790
LBN Legal business name Krause, Heather Marie
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2018
Last updated Jul 23rd, 2018 - about 7 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 1619454790 NPPES
Wisconsin Other 163191-30 STATE OF WISCONSIN LICENSE

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