Individual
TAMMY L CROOKSHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105-4100
(304) 485-3300
(304) 485-3317
Mailing address
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105-4100
(304) 485-3300
(304) 485-3317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29894
WV
Other
Enumeration date
01/18/2006
Last updated
09/29/2010
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