Individual
MRS. CRISELLE ELAINE TUCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
400 WEST 16TH STREET, PARKVIEW MEDICAL CENTER, PUEBLO, CO 81003
(719) 584-4000
Mailing address
1301 CONCORD TERRACE, PEDIATRIX MEDICAL GROUP, INCORPORATED, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 851-1839
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
51436
CO
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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