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Individual

MR. TYLER WADE CRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
329 NC HIGHWAY 801 N, BERMUDA RUN, NC 27006-7905
(336) 716-8200
(336) 716-9841
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009002
NC
363LA2100X
Acute Care Nurse Practitioner
5009002
NC
390200000X
Student in an Organized Health Care Education/Training Program
255846
NC

Other

Enumeration date
10/17/2016
Last updated
01/29/2026
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