Search › Idaho › 246ZC0007X
Andrea Kruse, CSA
NPI 1720861503 · on the registry since 2023 · sole proprietor
Practice
- Address
- 190 E. Banock St.
Boise, ID 83712 - Phone
- (208) 381-2222
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho