NPI 1093904112 TAMRA MAE KRUTZ L.C.P.C. SANDPOINT ID. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Tamra Mae Krutz - NPI: 1093904112

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: TAMRA MAE KRUTZ
NPI Number: 1093904112
Entity Type Code: Individual (1)
Gender: F
Credentials: L.C.P.C.
License Number:
Business Practice Address: 708 Superior St Ste B
Sandpoint, ID - 838641633
Business Phone Number: 2082653579
Business Fax Number: 2082632576
Mailing Address: 708 Superior St Ste B,
SANDPOINT
State: ID
Postal Code: 838641633
Phone Number: 2082653579
Fax Number: 2082632576
NPI Enumeration Date: 10/15/2007
NPI Last Update Date: 09/10/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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