Messer-Kruse, Diana L

Messer-Kruse, Diana L is an sole proprietor health care provider with primary practice located at 6135 Trust Dr 114, Holland OH 43528-9358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Messer-Kruse, Diana L can be contacted via phone (419) 491-0041.

Contact Information

Primary practice address
6135 Trust Dr 114 Holland OH 43528-9358
Phone: (419) 491-0041
Fax: (419) 491-0042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 09485 Ohio

Profile Details

NPI number 1194905794
LBN Legal business name Messer-Kruse, Diana L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2007
Last updated Feb 12th, 2016 - about 9 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 1194905794 NPPES
Ohio MEDICAID 2832939

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