Crouse, Corene

Crouse, Corene is an individual health care provider with primary practice located at 2200 Kell Blvd , Wichita Falls TX 76309-4401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crouse, Corene can be contacted via phone (940) 761-2833.

Contact Information

Primary practice address
2200 Kell Blvd Wichita Falls TX 76309-4401
Fax: (940) 397-2289
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 588761 Texas

Profile Details

NPI number 1316926900
LBN Legal business name Crouse, Corene
Credentials RN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated May 4th, 2010 - about 14 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 1316926900 NPPES
Texas MEDICAID 1984759-01

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