Individual
EMILY CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1060 ORCHARD AVE UNIT N, GRAND JCT, CO 81501-2997
(970) 644-3740
(970) 644-3763
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(970) 644-3740
(970) 644-3763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000206690
—
CO
Enumeration date
03/25/2021
Last updated
06/18/2024
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