NPI Profile for BRENDA R CRUM in WOODBRIDGE, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI # | 1306883418 |
|
| Status | Active | |
| Credentials | CFNP | |
| Entity | Individual | |
| Enumeration date | 05/31/2006 | |
| Last updated | 07/21/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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BRENDA R CRUM
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