| NPI | 1396763736 |
|---|---|
| Former Name | BEVERLY CRANDELL-HUTCHINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704142802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704142802) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4704142802) | |
| 363L00000X Nurse Practitioner (Licence: MI 2005010462) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-12-07 |