Individual
ASHLEY ELIZABETH CRUMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
900 S GEDDES ST, SYRACUSE, NY 13204-3837
(315) 572-1663
Mailing address
930 S SALINA ST, SYRACUSE, NY 13202-3530
(315) 453-4453
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
683370
NY
363LF0000X
Family Nurse Practitioner
Primary
F344477-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104279215
—
NY
05
—
363LF0000X
—
NY
01
—
683370-1
THE UNIVERSITY OF THE STATE OF NY EDUCATION DEPT
NY
Enumeration date
07/14/2016
Last updated
12/03/2024
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