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Individual

ASHLEY CRUTCHFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
910 E HOUSTON ST STE 330, TYLER, TX 75702-8368
(903) 606-7995
Mailing address
910 E HOUSTON ST STE 330, TYLER, TX 75702-8368
(903) 606-7995

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
872856
TX
363L00000X
Nurse Practitioner
1008845
TX
363LF0000X
Family Nurse Practitioner
Primary
1008845
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P02531931
RAIL ROAD NUMBER
TX
Enumeration date
06/24/2020
Last updated
10/24/2023
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