Individual
THERESA MCCRUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C
Contact information
Practice address
601 JOHN ST STE M-124, KALAMAZOO, MI 49007-5377
(269) 268-3372
Mailing address
424 S MOORLAND DR, BATTLE CREEK, MI 49015-3944
(269) 268-3372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4707248134
MI
Other
Enumeration date
11/01/2021
Last updated
11/29/2021
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