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General NPI Number Information
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NPI Number | 1184590218
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Entity Type | Organization
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Legal Business Name | CREWS WELLNESS-NURSE PRACTITIONER IN ADULT HEALTH, PLLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 418 BROADWAY # 8591
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 631-662-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY # 8591
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 631-662-1355
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REEMA CREWS
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Credential | NP
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Telephone | 631-662-1355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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