Ida Kruse, PA-C
Physician Assistant in Wakefield, Rhode Island
1710409214- Practice location
- 1 High St, Wakefield, RI 02879-3103
- Phone
- 401-789-1422
- Fax
- 401-782-6810
- Last updated
- July 17, 2017
Ida Kruse is a Physician Assistant based in Wakefield, RI. Ida Kruse practices in Wakefield, RI and has the professional credentials of PA-C. The NPI Number for Ida Kruse is 1710409214 and holds a License No. PA00985 (RI). The current practice location address for Ida Kruse is 1 High St, Wakefield, RI 02879-3103 and can be reached out via phone at 401-789-1422 and via fax at 401-782-6810.
Provider Profile Details
- NPI Number
- 1710409214
- Provider Name
- Ida Kruse
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 High St, Wakefield, RI 02879-3103
- Phone Number
- 401-789-1422
- Fax Number
- 401-782-6810
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2017
- Last Update Date
- July 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 High St
Wakefield, RI 02879-3103 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-3103
- Phone Number
- 401-789-1422
- Fax Number
- 401-782-6810
Provider Business Mailing Address Details
- Address
- 1 High St
Wakefield, RI 02879-3103 - City
- Wakefield
- State
- RI
- Zip
- 02879-3103
- Phone Number
- 401-789-1422
- Fax Number
- 401-782-6810
License Information
- License Number
- PA00985
- License State
- RI
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ida Kruse, PA-C?
The NPI number of Ida Kruse, PA-C is 1710409214. It was assigned on July 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Ida Kruse, PA-C?
Ida Kruse, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00985.
Where does Ida Kruse, PA-C practice?
The practice location is 1 High St, Wakefield, RI 02879-3103. The office can be reached at 401-789-1422 (phone) or 401-782-6810 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710409214 directly on the NPPES registry website.