Individual
SAMANTHA MARIE CRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2922 D AND M DR STE B, GAYLORD, MI 49735-7417
(231) 348-3283
Mailing address
2922 D AND M DR STE B, GAYLORD, MI 49735-7417
(231) 348-3283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704311250
MI
363LG0600X
Gerontology Nurse Practitioner
4704311250
MI
Other
Enumeration date
09/16/2020
Last updated
04/16/2024
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