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Individual

MS. PENNY SUE CROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
DEPT #0861, DENVER, CO 80256-0001
(186) 689-8713
(616) 975-9824
Mailing address
1917 WINGATE DR, GRAND JUNCTION, CO 81503-9529
(970) 245-5731

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
119700
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28989856
CO
01
930063846
RAILROAD
CO
Enumeration date
05/18/2006
Last updated
06/03/2008
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