Healthcare Provider Details

I. General information

NPI: 1629667563
Provider Name (Legal Business Name): CARE CREW NP SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 W GRAPEVINE MILLS CIR
GRAPEVINE TX
76051-2096
US

IV. Provider business mailing address

2451 W GRAPEVINE MILLS CIR
GRAPEVINE TX
76051-2096
US

V. Phone/Fax

Practice location:
  • Phone: 817-242-4717
  • Fax: 817-785-9783
Mailing address:
  • Phone: 817-242-4717
  • Fax: 817-785-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ANN MARIE SOLIMAN
Title or Position: OWNER/NURSE PRACTITIONER
Credential: APRN
Phone: 727-600-6543