Individual
MASON CRUMRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
519 N LINCOLN AVE, ODESSA, TX 79761-4429
(432) 640-6446
(432) 640-6491
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-6446
(432) 640-6491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1112586
TX
363LA2100X
Acute Care Nurse Practitioner
1112586
TX
363LG0600X
Gerontology Nurse Practitioner
1112586
TX
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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