NPI | 1750575064 |
---|---|
Professional Name | CRYSTAL DAWN BRELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3017962) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3017962) |
163WE0003X Registered Nurse, Emergency (Licence: FL 3017962) | |
Enumeration Date | 2007-08-29 |
Last Update Date | 2023-11-07 |