| Doctor Name: | BAMBI RACHELLE KRTAUSCH |
| NPI Number: | 1891982427 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | RN0000080922 |
| Business Practice Address: | 2348 Highway 75 Blountville, TN - 376176340 |
| Business Phone Number: | 4233541550 |
| Business Fax Number: | 4233541555 |
| Mailing Address: | 154 Blountville Byp, School Nurse Supervisor BLOUNTVILLE |
| State: | TN |
| Postal Code: | 376174575 |
| Phone Number: | 4232792777 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 09/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN0000080922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |