Doctor Name: | MRS. MICHELLE MARIE KROEGER |
NPI Number: | 1164644720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, MSN |
License Number: | A098229 |
Business Practice Address: | 221 Ann St Manning, IA - 514551128 |
Business Phone Number: | 7126532211 |
Business Fax Number: | |
Mailing Address: | 23751 Highway 30, Po Box 427 CARROLL |
State: | IA |
Postal Code: | 514010427 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 05/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A098229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |