Individual
JOAN CRUMRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
LICKING MEMORIAL FAMILY PRACTICE EAST, 399 E. MAIN ST, NEWARK, OH 43055
(220) 564-1846
(220) 564-1847
Mailing address
LICKING MEMORIAL FAMILY PRACTICE EAST, 399 E. MAIN ST, NEWARK, OH 43055
(220) 564-1846
(220) 564-1847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA-00227-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144521
—
OH
Enumeration date
07/10/2006
Last updated
03/18/2021
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