Crum, Laura

Crum, Laura is an individual health care provider with primary practice located at 20306 Badge Lane , Onley VA 23418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Crum, Laura can be contacted via phone (757) 787-7374.

Contact Information

Primary practice address
20306 Badge Lane Onley VA 23418
Phone: (757) 787-7374
Fax: (757) 787-4513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R083401 Maryland

Profile Details

NPI number 1114168440
LBN Legal business name Crum, Laura
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Jul 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114168440 NPPES
Maryland MEDICAID 188461100
Maryland MEDICAID 890001900
Maryland MEDICAID 040601500
Maryland MEDICAID 155191400
Maryland MEDICAID 267791100
Maryland MEDICAID 543306100

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