Provider Demographics
NPI:1467427914
Name:KRAUSE, CYNTHIA MAY (MSN,ND, WHNP)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MAY
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:MSN,ND, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E APPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-3406
Mailing Address - Country:US
Mailing Address - Phone:231-724-4415
Mailing Address - Fax:
Practice Address - Street 1:209 E APPLE AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-3406
Practice Address - Country:US
Practice Address - Phone:231-724-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704178844363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health