Martha Krasean, RN, CNP
Nurse Practitioner, Family in Hayward, WI. Individual provider (NPI-1).
NPI number1376954792
StatusActive
Last updated in NPPESJun 19, 2020
Details
- NPI
- 1376954792
- Entity type
- Individual (NPI-1)
- Name
- Martha Krasean
- Credential
- RN, CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2014
- Certification date
- Jun 19, 2020
- Last updated
- Jun 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 87616-30 | WI | Yes |
| 363LF0000X | Nurse Practitioner, Family | R102292-2 | MN |
Practice location
11040 N State Road 77Hayward, WI 54843-3606
Phone 715-934-4321 · Fax 715-468-7303
Mailing address
11040 N State Road 77Hayward, WI 54843-3606
Phone 715-934-4321 · Fax 715-468-7303
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