Most Relevant Information
Provider Data
| NPI Number: | 1003422742 |
| Provider Name: | ELENA MIHAELA KRUSE CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 125979 |
Most Important Dates
| Enumeration Date: | 09/18/2020 |
| Last Updated: | 09/18/2020 |
Provider Practice Location
415 ECHURCH ST
NW SUITE 4
HUNTSVILLE
AL
35801
Practice Location Phone/Fax
| Phone: | 2564890757 |
| Fax: |
Provider Mailing Location
828 OLD COVE ROAD
OWENS CROSS ROADS
AL
35763
Provider Mailing Phone/Fax
| Phone: | 9032933453 |
| Fax: |