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JUDITH KAY CRABTREE NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1205998978

Individual Registrant:
 JUDITH KAY CRABTREE NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
824 PINE ST  MT SHASTA, CA 96067 US
Tel: 530-926-4528  Fax: 530-926-5070

Contact information for business:
PO BOX 339  MT SHASTA, CA 96067-0339 US
Tel: 530-926-4528  Fax: 530-926-5070

Registration Information:
NPI: 1205998978
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CANP6276

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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