Most Relevant Information
Provider Data
| NPI Number: | 1003262965 |
| Provider Name: | BETSY KRAUSE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 01079312A |
Most Important Dates
| Enumeration Date: | 05/10/2016 |
| Last Updated: | 08/27/2020 |
Provider Practice Location
4515 COORS BLVD NW
ALBUQUERQUE
NM
871203699
Practice Location Phone/Fax
| Phone: | 5055962200 |
| Fax: |
Provider Mailing Location
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
871256666
Provider Mailing Phone/Fax
| Phone: | 5059236770 |
| Fax: | 5059235354 |