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

Russell Robert Kruse

Individual provider Registered Nurse · NPI 1720735749

Russell Robert Kruse is a Registered Nurse in Gallup, New Mexico. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN179845 (AZ)

Record details

NPI number1720735749
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address516 E Nizhoni Blvd, Gallup, NM 87301-5748

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