Individual
CANDI CRABTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 ROGERS AVE, SUMMERSVILLE, MO 65571
(417) 932-4119
Mailing address
149 ROGERS AVE, SUMMERSVILLE, MO 65571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013024278
MO
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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