Individual provider · Type 1 NPI

Beverly Kruise, REGISTERED NURSE

Psychiatric/Mental Health Registered Nurse · Shreveport, LA

NPI number 1013666841 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Mailing address

105 Hunter Xing Apt 105
Bossier City, LA 71111-8125

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN157206 (LA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1013666841

Beverly Kruise, REGISTERED NURSE's National Provider Identifier is 1013666841, issued on Mar 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Shreveport, LA. The record was last updated on Mar 21, 2022.