Provider Demographics
NPI:1891462511
Name:KRAHE, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:KRAHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W MAIN ST APT 424
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1791
Mailing Address - Country:US
Mailing Address - Phone:814-490-5589
Mailing Address - Fax:
Practice Address - Street 1:600 W MAIN ST APT 424
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1791
Practice Address - Country:US
Practice Address - Phone:814-490-5589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRN295992163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse