Individual
REBECCA CRIMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 N MAIN ST, NAPPANEE, IN 46550-9310
(574) 862-2165
(574) 862-4112
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015427A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300095456
—
IN
Enumeration date
05/23/2024
Last updated
01/03/2025
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