Individual
RITA A PRATER CROUCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2966
Mailing address
820 W PERSHING RD, DECATUR, IL 62526-1538
(217) 875-5057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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