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Individual
MRS. CHANDRA M. CRAVENS
Active
Individual
MRS. CHANDRA M. CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
658334
TX
363LF0000X
Family Nurse Practitioner
589146
CA
363LF0000X
Family Nurse Practitioner
658334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092914303
—
TX
01
—
303152YT2M
MEDICARE PTAN:
—
Enumeration date
01/24/2006
Last updated
10/03/2022
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