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Individual

DANA R CRUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFNP, BC-ADM

Contact information

Practice address
1900 GARFIELD AVE STE A, PARKERSBURG, WV 26101-2565
(877) 377-8427
(304) 699-0396
Mailing address
1900 GARFIELD AVE STE A, PARKERSBURG, WV 26101-2565
(877) 377-8427
(304) 699-0396

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
48061
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0099586
OH
05
3810026759
WV
Enumeration date
09/27/2011
Last updated
10/15/2024
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