Provider Demographics
NPI:1083465306
Name:HOWLAND-KRUSE, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HOWLAND-KRUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNICK
Other - Middle Name:
Other - Last Name:KRUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:245 W 109TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2365
Mailing Address - Country:US
Mailing Address - Phone:917-575-6577
Mailing Address - Fax:
Practice Address - Street 1:245 W 109TH ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2365
Practice Address - Country:US
Practice Address - Phone:917-575-6577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program