Individual
TERESA D CRUDUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
103 ROAMING FAWN DR, ROCKWOOD, TN 37854-4871
(865) 318-6865
(865) 285-9612
Mailing address
103 ROAMING FAWN DR, ROCKWOOD, TN 37854-4871
(865) 318-6865
(865) 285-9612
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00149507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
629114300
DEPARTMENT OF LABOR PROVIDER NUMBER DEEOIC
TN
Enumeration date
04/29/2022
Last updated
04/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us