Provider Demographics
NPI:1487915559
Name:KRAUSE, CASSIE L (APRN)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:L
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:L
Other - Last Name:KRAUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:11810 NICHOLAS ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4453
Mailing Address - Country:US
Mailing Address - Phone:402-307-5510
Mailing Address - Fax:883-968-2477
Practice Address - Street 1:11810 NICHOLAS ST
Practice Address - Street 2:SUITE 101
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4453
Practice Address - Country:US
Practice Address - Phone:402-307-5510
Practice Address - Fax:883-968-2477
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111353363L00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner