MEDICARE: CHRIS CRUTCHER ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP2511992	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851480446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS CRUTCHER ARNP

Provider Business Mailing Address
First Line	:	7528 LK UNDERHILL RD
Second Line	:	SUITE H
City	:	ORLANDO
State	:	FL
Zip	:	32822
Country	:	US
Telephone Number	:	407-282-0059
Fax Number	:

Provider Business Practice Location Address
First Line	:	7350 SAND LAKE COMMONS STE 2205
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8031
Country	:	US
Telephone Number	:	407-647-1862
Fax Number	:	407-622-0994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	02/10/2014

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