| NPI | 1881140259 |
|---|---|
| Former Name | TANDRA A CRUMEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8943) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8943) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2021-09-09 |