Kruse, Brenda J

Kruse, Brenda J is an individual health care provider with primary practice located at 1400 E Madison Ave Suite 400A, Mankato MN 56001-5473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kruse, Brenda J can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1400 E Madison Ave Suite 400A Mankato MN 56001-5473
Phone: (507) 625-1811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9539 Minnesota

Profile Details

NPI number 1780663781
LBN Legal business name Kruse, Brenda J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 10th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780663781 NPPES
Other 970018304 RR MEDICARE
Other 0109920 RR MEDICARE
Other 151319 RR MEDICARE
Other 66B52KR RR MEDICARE
Other HP31696 RR MEDICARE
Other 1662208 RR MEDICARE
Other 41084933956001C171 RR MEDICARE
MEDICAID 672608900 RR MEDICARE
Other NA2951025903 RR MEDICARE

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