Individual provider · Type 1 NPI

Carly Elizabeth Crull

Primary Care Nurse Practitioner · Pontiac, MI

NPI number 1578021135 Active

Practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Mailing address

3430 Farmers Creek Rd
Metamora, MI 48455-9791

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X4704291722 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1578021135

Carly Elizabeth Crull's National Provider Identifier is 1578021135, issued on Mar 3, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pontiac, MI. The record was last updated on Mar 3, 2019.