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Individual

TINA CRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
9385 ASHWOOD CT, MOBILE, AL 36695-5022
(251) 454-4751
Mailing address
9385 ASHWOOD CT, MOBILE, AL 36695-5022
(251) 454-4751

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905293
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
905293
INSURANCE
MS
Enumeration date
05/15/2022
Last updated
05/15/2022
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