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NPI Code Detail

MEDICARE: DR. PAULA ANN CRENSHAW MD

MEDICARE:  DR. PAULA ANN CRENSHAW  MD
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
1207R00000XInternal Medicine Physician35497CO
2207R00000XInternal Medicine PhysicianC52744CA
3207R00000XInternal Medicine Physician14885NV

General Provider Information

NPI Number : 1902880669
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULA ANN CRENSHAW MD
Provider Business Mailing Address
First Line : 780 KUENZLI ST
Second Line : STE 202
City : RENO
State : NV
Zip : 89502-0845
Country : US
Telephone Number : 775-982-5262
Fax Number : 775-982-5496
Provider Business Practice Location Address
First Line : 3641 GS RICHARDS BLVD
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-8458
Country : US
Telephone Number : 775-982-5000
Fax Number : 775-982-3900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 08/18/2016

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Directions to “ DR. PAULA ANN CRENSHAW MD” Practice Location

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