1376960518 NPI number — MS. NORA BUTLER KRAUSE L.C.S.W.

Table of content: MS. NORA BUTLER KRAUSE L.C.S.W. (NPI 1376960518)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376960518 NPI number — MS. NORA BUTLER KRAUSE L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRAUSE
Provider First Name:
NORA
Provider Middle Name:
BUTLER
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376960518
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4525 HARDING PIKE
Provider Second Line Business Mailing Address:
SUITE 235 - 236
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37205-2119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-460-4080
Provider Business Mailing Address Fax Number:
615-620-4536

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4525 HARDING PIKE
Provider Second Line Business Practice Location Address:
SUITE 235 - 236
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37205-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-460-4080
Provider Business Practice Location Address Fax Number:
615-620-4536
Provider Enumeration Date:
03/26/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LSW0000003653 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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