Individual provider · Type 1 NPI
Shidawn Tevin Crank, RN
Acute Care Nurse Practitioner · Gallup, NM
NPI number
1033729744
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 88603 (NM) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 81064 (NM) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1033729744
Shidawn Tevin Crank, RN's National Provider Identifier is 1033729744, issued on Aug 6, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Gallup, NM. The record was last updated on Oct 30, 2024.