Individual
MICHAEL CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Mailing address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19759
SC
363LA2200X
Adult Health Nurse Practitioner
APRN75848-AGPCNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3740
—
SC
Enumeration date
01/26/2015
Last updated
02/09/2022
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