Individual
ALEXIS TIARRA CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
385 MAIN ST APT 12, LOMIRA, WI 53048-9329
(920) 757-8292
Mailing address
385 MAIN ST APT 12, LOMIRA, WI 53048-9329
(920) 757-8292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
262784
WI
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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