Individual
AUDREY CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1600 E RIVERVIEW AVE, NAPOLEON, OH 43545-9399
(419) 592-4015
Mailing address
1600 E RIVERVIEW AVE, NAPOLEON, OH 43545-9399
(419) 592-4015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13593
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079995
—
OH
Enumeration date
07/25/2012
Last updated
01/06/2022
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