Individual
MRS. CORENE CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 761-2833
(940) 397-2289
Mailing address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 761-2833
(940) 397-2289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
588761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1984759-01
—
TX
Enumeration date
01/11/2006
Last updated
05/04/2010
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