Individual
ISAAC CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 WESTSIDE DR, GREENSBORO, NC 27405-7116
(336) 230-1103
Mailing address
517 OLD QUARRY RD, DANVILLE, VA 24540-0409
(434) 709-8431
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002099265
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002099265
—
VA
Enumeration date
12/30/2021
Last updated
12/30/2021
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