Individual
MARY MAXINE MCCRARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
563 COLONIAL DR, BATON ROUGE, LA 70806-6508
(225) 505-5217
(225) 452-9123
Mailing address
17625 WISDOM DR, BAKER, LA 70714-1536
(225) 505-5217
(225) 452-9123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07509
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2372041
—
LA
01
—
383422YJV5
MEDICARE PTAN
LA
Enumeration date
08/18/2013
Last updated
02/24/2025
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