MR. ALEXANDER VAN KRUYSMAN NPI 1417692880

NPI Information

  • NPI: 1417692880
  • Provider Name: MR. ALEXANDER VAN KRUYSMAN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 605 MIAMI RD
    MONTROSE, CO
    ZIP 81401
  • Phone: (970) 252-3200

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NPI Details

MR. Alexander Van Kruysman is a psychiatric/mental health nurse practitioner in Montrose, CO. MR. Alexander Van Kruysman NPI is 1417692880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

605 MIAMI RD
MONTROSE, CO
ZIP 81401-108
Phone: (970) 252-3200

The NPI 1417692880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2022 and was last updated on 8/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health26051SOUTH CAROLINANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthC-APN.0100521-C-NPCOLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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