Krause, Tristan
Krause, Tristan is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Krause, Tristan can be contacted via phone (414) 328-6000.Contact Information
Primary practice address
8901 W Lincoln Ave
West Allis WI 53227-2409
Phone: (414) 328-6000
Fax: (414) 649-1328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5913-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5913 | Wisconsin |
Profile Details
| NPI number | 1275940769 |
|---|---|
| LBN Legal business name | Krause, Tristan |
| Credentials | AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2014 |
| Last updated | Aug 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275940769 | NPPES |
| Wisconsin | MEDICAID | 100040690 |
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