NPI 1013666841
Beverly Kruise, REGISTEREDNURSE
Practice location
- Address
- 510 E Stoner Ave, Shreveport, LA 71101-4243
- Phone
- (318) 221-8411
- Mailing address
- 105 Hunter Xing APT 105, Bossier City, LA 71111-8125
Registered specialties
Psychiatric/Mental Health Registered Nurse
Primary
Registry record
- NPI
- 1013666841
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Mar 2022
- Record last updated
- 21 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.