| Doctor Name: | JUDI M KRUSE |
| NPI Number: | 1376625541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN,BC |
| License Number: | RN075514 |
| Business Practice Address: | 1200 W 22nd St Higginsville, MO - 640371420 |
| Business Phone Number: | 6605847751 |
| Business Fax Number: | 6605848261 |
| Mailing Address: | 79 Beach Dr, LAKE TAPAWINGO |
| State: | MO |
| Postal Code: | 640159686 |
| Phone Number: | 8168038542 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 01/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN075514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |