Individual
MRS. CHARLENE CRUMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Contact information
Practice address
5012 S US HIGHWAY 75, SUITE 250, DENISON, TX 75020-4587
(903) 416-6430
(903) 416-6431
Mailing address
5012 S US HWY 75, SUITE 300, ATTN BILLING, DENISON, TX 75020-4589
(903) 416-6430
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
231525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330235801
—
TX
Enumeration date
05/10/2007
Last updated
01/26/2018
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