Provider Demographics
NPI:1588425730
Name:KRUSE, AUBREY RAE (RN)
Entity type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:RAE
Last Name:KRUSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:RAE
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:192 RAINTREE DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5004
Mailing Address - Country:US
Mailing Address - Phone:321-961-7960
Mailing Address - Fax:
Practice Address - Street 1:192 RAINTREE DR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-5004
Practice Address - Country:US
Practice Address - Phone:321-961-7960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9424134163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse