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General NPI Number Information
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NPI Number | 1598190837
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Entity Type | Individual
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Provider Name | CRISTEN MORRIS CRAIN NP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 8312 JEFFERSON HWY
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City | BATON ROUGE
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State | LA
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Zip | 70809-8657
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Country | US
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Telephone | 225-765-5500
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Fax | 225-924-1243
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Provider Business Mailing Address
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Address Line | 2051 SILVERSIDE DR STE 260
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City | BATON ROUGE
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State | LA
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Zip | 70808-9005
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Country | US
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Telephone | 225-490-6301
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Fax | 225-765-9539
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07483
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License Number State | LA
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