Healthcare Provider Details

I. General information

NPI: 1447842927
Provider Name (Legal Business Name): REBECCA MCNEIL CRIMMINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA MCNEIL SMITH

II. Dates (important events)

Enumeration Date: 02/06/2021
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

363 HAZEL MILL RD
ASHEVILLE NC
28806-3644
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-4642
  • Fax:
Mailing address:
  • Phone: 901-481-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5014052
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5014052
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: