Individual
FALLON CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 GULF BREEZE PKWY STE 300, GULF BREEZE, FL 32561-4458
(850) 932-5055
(850) 932-1404
Mailing address
PO BOX 280, GULF BREEZE, FL 32562-0280
(850) 932-5055
(850) 934-1404
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9267229
FL
363LP0200X
Pediatric Nurse Practitioner
RN226921
GA
Other
Enumeration date
12/13/2007
Last updated
12/09/2022
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