Individual provider · Type 1 NPI
Ethan Krause, RN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI number
1447862305
Active
Practice location
6501 N Charles St
Baltimore, MD 21204-6819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R245793 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1447862305
Ethan Krause, RN, PMHNP's National Provider Identifier is 1447862305, issued on Aug 20, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Nov 4, 2020.