Crandall, Virginia Lou

Crandall, Virginia Lou is an individual health care provider with primary practice located at 6340 Barnes Road , Colorado Springs CO 80922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Crandall, Virginia Lou can be contacted via phone (719) 380-5411.

Contact Information

Primary practice address
6340 Barnes Road Colorado Springs CO 80922
Phone: (719) 380-5411
Fax: (719) 390-3571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 169985 Colorado

Profile Details

NPI number 1649295221
LBN Legal business name Crandall, Virginia Lou
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 16th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649295221 NPPES
Colorado MEDICAID 19478836

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