Provider Demographics
NPI:1811189186
Name:KRAUSE, MARY FRANCES (OTR)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 COUNTY ROAD 29
Mailing Address - Street 2:
Mailing Address - City:TEKAMAH
Mailing Address - State:NE
Mailing Address - Zip Code:68061-5087
Mailing Address - Country:US
Mailing Address - Phone:402-374-1885
Mailing Address - Fax:
Practice Address - Street 1:1210 COUNTY ROAD 29
Practice Address - Street 2:
Practice Address - City:TEKAMAH
Practice Address - State:NE
Practice Address - Zip Code:68061-5087
Practice Address - Country:US
Practice Address - Phone:402-374-1885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE80174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist