Individual
MICHAEL A CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5219 LANKFORD HWY, NEW CHURCH, VA 23415-3332
(757) 824-5676
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
(757) 414-0400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183784
VA
363LF0000X
Family Nurse Practitioner
LG-0000452
DE
363LF0000X
Family Nurse Practitioner
R089536
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000037398
MEDICAID DELAWARE
DE
01
—
1184832040
GROUP NPI
MD
05
—
458004400
—
MD
Enumeration date
07/28/2005
Last updated
03/05/2026
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