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NPI Code Detail

MEDICARE: MARILIN J CRAWFORD APRN

MEDICARE:   MARILIN J CRAWFORD  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner110941NE
2363LA2200XAdult Health Nurse Practitioner110941NE

General Provider Information

NPI Number : 1720233554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILIN J CRAWFORD APRN
Provider Business Mailing Address
First Line : 3000 LINCOLN BLVD
Second Line :
City : BEATRICE
State : NE
Zip : 68310-3319
Country : US
Telephone Number : 402-223-6600
Fax Number : 402-223-5773
Provider Business Practice Location Address
First Line : 3000 LINCOLN BLVD
Second Line :
City : BEATRICE
State : NE
Zip : 68310-3319
Country : US
Telephone Number : 402-223-6600
Fax Number : 402-223-5773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2008
Last Update Date : 04/19/2010

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Directions to “ MARILIN J CRAWFORD APRN” Practice Location

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