Crandall, Selena

Crandall, Selena is an individual health care provider with primary practice located at 3860 Sun City Center Blvd , Ruskin FL 33573-6806. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crandall, Selena can be contacted via phone (813) 633-1980.

Contact Information

Primary practice address
3860 Sun City Center Blvd Ruskin FL 33573-6806
Phone: (813) 633-1980
Fax: (813) 355-5104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9238210 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9238210 Florida

Profile Details

NPI number 1043635675
LBN Legal business name Crandall, Selena
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2014
Last updated Sep 21st, 2023 - 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 1043635675 NPPES
Florida MEDICAID 014924000

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