Crandall, Audrey
Crandall, Audrey is an individual health care provider with primary practice located at 1600 E Riverview Ave , Napoleon OH 43545-9399. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crandall, Audrey can be contacted via phone (419) 592-4015.Contact Information
Primary practice address
1600 E Riverview Ave
Napoleon OH 43545-9399
Phone: (419) 592-4015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13593 | Ohio |
Profile Details
| NPI number | 1124374350 |
|---|---|
| LBN Legal business name | Crandall, Audrey |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Jan 6th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124374350 | NPPES |
| Ohio | MEDICAID | 0079995 |
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