Kruse, Melissa Ann

Kruse, Melissa Ann is an individual health care provider with primary practice located at 1515 22Nd Ave N , St Petersburg FL 33704-3113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kruse, Melissa Ann can be contacted via phone (727) 322-4227.

Contact Information

Primary practice address
1515 22Nd Ave N St Petersburg FL 33704-3113
Phone: (727) 322-4227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11000448 Florida

Profile Details

NPI number 1194296848
LBN Legal business name Kruse, Melissa Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2018
Last updated Jun 11th, 2025 - about last year

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 1194296848 NPPES
Florida Other APRN11000448 APRN LICENSE
Florida MEDICAID 103124800 APRN LICENSE
Florida Other XK51V APRN LICENSE

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