Individual
AMANDA CRANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
17-182B MIDDLE ROAD, KURTISTOWN, HI 96760
(979) 264-5988
Mailing address
PO BOX 422, KURTISTOWN, HI 96760-0422
(979) 264-5988
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP140180
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-3247
HI
Other
Enumeration date
05/22/2020
Last updated
05/01/2024
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