Healthcare Provider Details

I. General information

NPI: 1194157628
Provider Name (Legal Business Name): KRISTA LAUREN CRABTREE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 W NORTHFIELD BLVD #101
MURFREESBORO TN
37129-0531
US

IV. Provider business mailing address

237 W NORTHFIELD BLVD STE 101
MURFREESBORO TN
37129-0531
US

V. Phone/Fax

Practice location:
  • Phone: 615-848-2900
  • Fax: 615-848-2956
Mailing address:
  • Phone: 615-893-4480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17841
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: