NPI Profile for Dr DIANE M CRUM in EATONVILLE, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1922651652 |
|
| Status | Active | |
| Credentials | DNP | |
| Entity | Individual | |
| Enumeration date | 07/22/2019 | |
| Last updated | 11/27/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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DIANE M CRUM
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