Candice Crabb
Nurse Practitioner - Family Medicine
2502 S Ashland Ave
Green Bay
, Wisconsin 54304-5252
Candice Crabb
Nurse Practitioner - Family Medicine
2502 S Ashland Ave
Green Bay
, Wisconsin 54304-5252
(920) 272-1112
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Candice Crabb
- Po Box 19070
- Green Bay, WI
- Zip : 54307-9070
- Phone : (920) 272-1112
Second Address
- Candice Crabb
- 2502 S Ashland Ave
- Green Bay, WI
- Zip : 54304-5252
- Phone : (920) 496-4777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 7054-33 | WI |
National Provider Identifier
| NPI | 1003266313 |
|---|---|
| Provider Name | Candice Crabb |
| First Address | Green Bay, WI 54307-9070 |
| Second Address | Green Bay, WI 54304-5252 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2016 |
| Last Update Date | 21/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.