Crane, Tyler Wade
Crane, Tyler Wade is an individual health care provider with primary practice located at 375 Hospital St Ste 200 , Mocksville NC 27028. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Crane, Tyler Wade can be contacted via phone (336) 751-2121.Contact Information
Primary practice address
375 Hospital St Ste 200
Mocksville NC 27028
Phone: (336) 751-2121
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5009002 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5009002 | North Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 255846 | North Carolina |
Profile Details
NPI number | 1548711385 |
---|---|
LBN Legal business name | Crane, Tyler Wade |
Credentials | AGACNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2016 |
Last updated | Aug 7th, 2023 - about last year |
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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