Individual
TARA DELYNNE CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
613 23RD ST STE 230, ASHLAND, KY 41101
(606) 324-4745
(606) 324-4941
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3008273
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146665
—
OH
05
—
3810030108
—
WV
05
—
7100389330
—
KY
Enumeration date
11/01/2013
Last updated
12/18/2018
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