Individual
MRS. THERESA M CRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4494 W PEORIA AVE, GLENDALE, AZ 85302-2023
(623) 486-5232
Mailing address
4494 W PEORIA AVENUE, GLENDALE, AZ 85302-0000
(623) 486-5232
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN034207
AZ
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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