Provider Demographics
NPI:1952441123
Name:KRAUSS, RONALD L (CERTIFIED NURSE MIDW)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:L
Last Name:KRAUSS
Suffix:
Gender:M
Credentials:CERTIFIED NURSE MIDW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 TEMPLE ST
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510
Mailing Address - Country:US
Mailing Address - Phone:203-789-2011
Mailing Address - Fax:203-458-9063
Practice Address - Street 1:40 TEMPLE ST
Practice Address - Street 2:SUITE 7A
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-789-2011
Practice Address - Fax:203-458-9063
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000061367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife