Individual
MRS. JEANNIE M CRABTREE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13 CHURCH ST, EAST GRANBY, CT 06026-0518
(860) 653-4526
(860) 653-5209
Mailing address
PO BOX 518, 13 CHURCH RD, EAST GRANBY, CT 06026-0518
(860) 653-4526
(860) 653-5209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
075082
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032010
CONNECTICARE
—
01
—
2V6805
HEALTHNET
—
01
—
4000032010T01
BCBS
—
Enumeration date
12/29/2005
Last updated
07/08/2007
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