Provider Demographics
NPI:1972712586
Name:KRAUS, NANCY M (NURSE-MIDWIFE)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:KRAUS
Suffix:
Gender:F
Credentials:NURSE-MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 BROADWAY
Mailing Address - Street 2:SUITE 404
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3225
Mailing Address - Country:US
Mailing Address - Phone:212-966-7600
Mailing Address - Fax:212-925-8736
Practice Address - Street 1:568 BROADWAY
Practice Address - Street 2:SUITE 404
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3225
Practice Address - Country:US
Practice Address - Phone:212-966-7600
Practice Address - Fax:212-925-8736
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5717942363L00000X
NYF000159367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner