Kruse, Sara L

Kruse, Sara L is an individual health care provider with primary practice located at 100 Hospital Dr , Lebanon MO 65536-9210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kruse, Sara L can be contacted via phone (417) 533-6026.

Contact Information

Primary practice address
100 Hospital Dr Lebanon MO 65536-9210
Phone: (417) 533-6026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2001003778 Missouri

Profile Details

NPI number 1235443797
LBN Legal business name Kruse, Sara L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Apr 14th, 2022 - about 2 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 1235443797 NPPES
Other 431560263 TRICARE WEST
Other P00851999 TRICARE WEST
MEDICAID 1235443797 TRICARE WEST
MEDICAID 183462001 TRICARE WEST

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