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NPI Code Detail

MEDICARE: ERIN L CRANE PMHNP-BC

MEDICARE:   ERIN L CRANE  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse0001209208VA

General Provider Information

NPI Number : 1528644184
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN L CRANE PMHNP-BC
Provider Business Mailing Address
First Line : 1113 CEDAR VALLEY DR
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-9190
Country : US
Telephone Number : 276-963-0111
Fax Number :
Provider Business Practice Location Address
First Line : 1113 CEDAR VALLEY DR
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-9190
Country : US
Telephone Number : 276-963-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 03/23/2021

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Directions to “ ERIN L CRANE PMHNP-BC” Practice Location

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