IndividualActive
Shannon Krueger
NPI 1033764378 · Diabetes Educator Registered Nurse · Ada, OK
Provider details
- NPI number
- 1033764378
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 754947 (TX)
Mailing address
430 N Monte Vista St
Ada, OK 74820-4610
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.