Patricia Ann Kruse

Individual provider Active NPI Emergency Registered Nurse · Sells, AZ

NPI 1952829681 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1952829681
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Registered Nurse 163WE0003X
License
RN207021 (AZ)
Practice address
Hwy 86 & Topawa Road
Sells, AZ 85634
Phone
(520) 383-7280
Fax
(520) 383-7284
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN207021AZMDEmergency Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN207021 AZ Yes

Addresses

Primary practice location

Hwy 86 & Topawa Road
Sells, AZ 85634

Mailing address

Hwy 86 & Topawa Road
Sells, AZ 85634
Phone (520) 383-7280

Other providers in Sells, AZ

All providers in Sells, AZ · Emergency Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.