Crutchfield, Mary G.

Crutchfield, Mary G. is an individual health care provider with primary practice located at 1072 Laskin Rd Ste 104, Virginia Beach VA 23451-6387. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Crutchfield, Mary G. can be contacted via phone (757) 628-8605.

Contact Information

Primary practice address
1072 Laskin Rd Ste 104 Virginia Beach VA 23451-6387
Phone: (757) 628-8605
Fax: (757) 648-1363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024169848 Virginia

Profile Details

NPI number 1366715112
LBN Legal business name Crutchfield, Mary G.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Dec 29th, 2017 - about 9 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 1366715112 NPPES
Virginia Other PAR MULTIPLAN
Virginia MEDICAID 1366715112 MULTIPLAN
Virginia MEDICAID 7005918 MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia Other -022 MULTIPLAN
Virginia Other 10090356N MULTIPLAN
Virginia Other 1366715112 MULTIPLAN

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