Provider Demographics
NPI:1477836419
Name:KROUSE, HELENE JUNE (NP)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:JUNE
Last Name:KROUSE
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Gender:F
Credentials:NP
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Mailing Address - Street 1:5557 CASS AVE
Mailing Address - Street 2:COHN 146
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3615
Mailing Address - Country:US
Mailing Address - Phone:313-577-3911
Mailing Address - Fax:313-577-9809
Practice Address - Street 1:5557 CASS AVE
Practice Address - Street 2:COHN 146
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3615
Practice Address - Country:US
Practice Address - Phone:313-577-3911
Practice Address - Fax:313-577-9809
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
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Provider Licenses
StateLicense IDTaxonomies
MI4704231937363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health