Individual
CARLA JEAN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
600 CAISSON HILL RD., FT. RILEY, KS 66442
(785) 239-9779
Mailing address
3000 PECANWOOD DR, MANHATTAN, KS 66502-2208
(785) 537-2227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45796
KS
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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