Provider Demographics
NPI:1669356325
Name:KREUTER, DEBRA KAYE
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAYE
Last Name:KREUTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7760
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-7760
Mailing Address - Country:US
Mailing Address - Phone:323-874-2565
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 7760
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-7760
Practice Address - Country:US
Practice Address - Phone:323-874-2565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA360255163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse