Individual
MAKIEA MICHAE' CRENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6161 KEMPSVILLE CIR STE 315, NORFOLK, VA 23502-3935
(757) 461-5400
(757) 461-3305
Mailing address
6161 KEMPSVILLE CIR STE 315, NORFOLK, VA 23502-3935
(757) 461-5400
(757) 461-3305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184134
VA
Other
Enumeration date
11/09/2020
Last updated
05/05/2022
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