Provider Demographics
NPI:1356826051
Name:KROGSRUD, AMBER (ND)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:KROGSRUD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 HILLCREST DR APT B
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1585
Mailing Address - Country:US
Mailing Address - Phone:320-444-3787
Mailing Address - Fax:
Practice Address - Street 1:775 N VULCAN AVE
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2137
Practice Address - Country:US
Practice Address - Phone:320-444-3787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath