Individual
DANIELLE MARIE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4707 SOUTH BLVD, CHARLOTTE, NC 28217-2117
(704) 525-6288
Mailing address
4707 SOUTH BLVD, CHARLOTTE, NC 28217-2117
(704) 619-4914
(704) 525-6283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013987
NC
Other
Enumeration date
01/18/2021
Last updated
08/16/2022
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