| NPI | 1023094174 |
|---|---|
| Other Name | BETHANY ANN DECKARD-CROUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28086499) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: IN 70000008) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-06-28 |