Provider Demographics
NPI:1184433963
Name:KRASSER, TROY WAYNE
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:WAYNE
Last Name:KRASSER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14206 S 96TH ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4511
Mailing Address - Country:US
Mailing Address - Phone:402-670-0879
Mailing Address - Fax:
Practice Address - Street 1:14206 S 96TH ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4511
Practice Address - Country:US
Practice Address - Phone:402-670-0879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant