Individual
KEISHA CRUM-CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
106 W MYRTLE AVE, FOLEY, AL 36535-1935
(251) 943-5437
(251) 943-3227
Mailing address
106 W MYRTLE AVE, FOLEY, AL 36535-1935
(251) 943-5437
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1-132375
AL
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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