Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK ROBERT KRUSE, SUDPT
ActiveMR. JACK ROBERT KRUSE, SUDPT is a Student (Health Education/Training) healthcare provider located in SHORELINE, Washington. NPI 1457987992 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · SHORELINE, WA
Registration Details
- NPI Number
- 1457987992
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2020 (6.4123734070806 yrs)
- Last Updated
- Mar 17, 2020
Practice Information
- Address
-
16715 AURORA AVE N STE 102SHORELINE, WA, 981335310Browse WA providers · Browse ZIP 98133
- Phone
- 2065469766
- Fax
- 2065420326
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in SHORELINE, WA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER GLASCO | — | 1861427759 |
| CHARLENE NGUYEN | — | 1780005082 |
| GRACE WEIGEL | M.A | 1770982019 |
| MS. ODAWNI ALEZENA JOY PALMER | — | 1861878456 |
| ERIN NICOLE RASP | — | 1578939021 |
| NATASHA GEOGY | — | 1821442641 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.