Individual
KAYLA MIRIAM ROGERS CRUMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
3911 MARY ELIZA TRCE NW STE 500, MARIETTA, GA 30064-1089
(678) 384-3480
Mailing address
1826 HARMONY RD, POWDER SPRINGS, GA 30127-1220
(501) 517-5386
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN303304
GA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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