Individual provider · Type 1 NPI

Tamra Ruth MC Millan Crowell, LPN

Licensed Practical Nurse · Blytheville, AR

NPI number 1124156104 Active

Practice location

1510 Byrum Rd
Blytheville, AR 72315-8033

Mailing address

407 W Lake St
Manila, AR 72442-8002

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X176888 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124156104

Tamra Ruth MC Millan Crowell, LPN's National Provider Identifier is 1124156104, issued on Mar 1, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blytheville, AR. The record was last updated on Jul 8, 2007.