Provider Demographics
NPI:1407925647
Name:KRAUSE, TERRI S (RNFA)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:S
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15726 MCELROY RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-8333
Mailing Address - Country:US
Mailing Address - Phone:903-566-4930
Mailing Address - Fax:
Practice Address - Street 1:15726 MCELROY RD
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-8333
Practice Address - Country:US
Practice Address - Phone:903-566-4930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX252995163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0024KEOtherBLUE CROSS BLUE SHIELD