Individual
ANTWAN JAMAL CRUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1515 SW CARY PKWY STE 200, CARY, NC 27511-6224
(919) 387-3176
(919) 387-3244
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011149
NC
Other
Enumeration date
10/19/2018
Last updated
05/06/2021
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