Individual
CRYSTAL JEAN MCGRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
838 E WOOSTER ST, BOWLING GREEN, OH 43402
(419) 372-2271
(419) 372-8010
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1600
(419) 353-7069
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
COA.14611-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086573
—
OH
Enumeration date
06/28/2013
Last updated
11/13/2014
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