Individual
CANDICE CRABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 496-4777
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 272-1112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168205-030
WI
363LF0000X
Family Nurse Practitioner
Primary
7054-33
WI
Other
Enumeration date
06/16/2016
Last updated
09/21/2016
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