Individual provider · Type 1 NPI

Evelyn Suzanne Crumb

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1104525864 Active

Practice location

601 S Martin Luther King Jr Dr Fl 432
Winston Salem, NC 27110-0003

Call (336) 750-3175 Map

Mailing address

3808 US 21 Hwy
Hamptonville, NC 27020-7313

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104525864

Evelyn Suzanne Crumb's National Provider Identifier is 1104525864, issued on Mar 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 1, 2023.