Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Kruse, CSA

Individual provider Surgical Assistant · NPI 1720861503

Andrea Kruse, CSA is a Surgical Assistant in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

190 E Banock St
Boise, ID 83712
Phone: (208) 381-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 5421 (ID)

Record details

NPI number1720861503
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA
Sole proprietorYes
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 16, 2023
Certification dateJuly 27, 2023
Mailing address11358 W Tioga St, Boise, ID 83709-3347

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