Provider Demographics
NPI:1841705720
Name:KRAUSE, NADIA KORAN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:KORAN
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7250 PARKWAY DR STE 500
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1343
Mailing Address - Country:US
Mailing Address - Phone:340-626-8151
Mailing Address - Fax:667-401-1470
Practice Address - Street 1:7250 PARKWAY DR STE 500
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1343
Practice Address - Country:US
Practice Address - Phone:443-949-0814
Practice Address - Fax:667-401-1470
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-13
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR207315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty