Ella Irene Krouse, PA
Physician Assistant in Charlotte, NC. Individual provider (NPI-1).
NPI number1669963237
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1669963237
- Entity type
- Individual (NPI-1)
- Name
- Ella Irene Krouse
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2018
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-08045 | NC | Yes |
Practice location
501 Billingsley RdSte B
Charlotte, NC 28211-1009
Phone 704-444-2400
Mailing address
Po Box 19305Charlotte, NC 28219-9305
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