Individual
RITA THOMANN CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
400 SHELTON ST, CARRBORO, NC 27510-1762
(919) 968-3652
(919) 969-2476
Mailing address
400 SHELTON ST, CARRBORO, NC 27510-1762
(919) 968-3652
(919) 969-2476
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
136824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5002181
NURSE PRACTITIONER APPROVAL NUMBER
NC
Enumeration date
01/12/2012
Last updated
01/12/2012
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