Crum, Brenda Rae

Crum, Brenda Rae is an individual health care provider with primary practice located at 2280 Opitz Blvd Ste 110 , Woodbridge VA 22191-3362. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crum, Brenda Rae can be contacted via phone (703) 523-8880.

Contact Information

Primary practice address
2280 Opitz Blvd Ste 110 Woodbridge VA 22191-3362
Phone: (703) 523-8880
Fax: (757) 648-1954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 24131318 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024131318 Virginia

Profile Details

NPI number 1306883418
LBN Legal business name Crum, Brenda Rae
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 21st, 2021 - about 4 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 1306883418 NPPES
Virginia MEDICAID 7792085

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