Provider Demographics
NPI:1548657505
Name:KRAUSE, MARIA (APN)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SUNSET INN RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:07848-2214
Mailing Address - Country:US
Mailing Address - Phone:973-383-6300
Mailing Address - Fax:973-383-4979
Practice Address - Street 1:37 SUNSET INN RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:NJ
Practice Address - Zip Code:07848-2214
Practice Address - Country:US
Practice Address - Phone:973-383-6300
Practice Address - Fax:973-383-4979
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00555300363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner