Provider Demographics
NPI:1619690104
Name:KRAUSE, ADRIAN BRYSON (FNP-C)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:BRYSON
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 DEER MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-2870
Mailing Address - Country:US
Mailing Address - Phone:828-803-1528
Mailing Address - Fax:
Practice Address - Street 1:136 STONEMARK LN STE 100C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-3881
Practice Address - Country:US
Practice Address - Phone:888-704-4661
Practice Address - Fax:888-239-2595
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC229583163WE0003X
SC30673363L00000X
NC5017084363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WE0003XNursing Service ProvidersRegistered NurseEmergency