# MELODIA CRUMP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104666130
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 4704233525 | MI | Yes |

## Other

- **Enumeration date:** 05/28/2024
- **Last updated:** 05/28/2024