Provider Demographics
NPI:1639898836
Name:KRAUS, HANNAH KATHRYN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATHRYN
Last Name:KRAUS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:BOLTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1307 N 31ST ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-6705
Mailing Address - Country:US
Mailing Address - Phone:978-807-9527
Mailing Address - Fax:
Practice Address - Street 1:25 S UNION ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-4221
Practice Address - Country:US
Practice Address - Phone:804-957-9601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily