Heidi K Crull
Nurse Practitioner - Adult Health
2115 S Fremont Ave Ste 3300
Springfield
, Missouri 65804-2239
Heidi K Crull
Nurse Practitioner - Adult Health
2115 S Fremont Ave Ste 3300
Springfield
, Missouri 65804-2239
(417) 829-4414
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Heidi K Crull
- Po Box 2580
- Springfield, MO
- Zip : 65801-2580
- Fax : (417) 829-4414
- Phone : (417) 829-4620
Second Address
- Heidi K Crull
- 2115 S Fremont Ave Ste 3300
- Springfield, MO
- Zip : 65804-2239
- Fax : (417) 820-5220
- Phone : (417) 820-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 2011040496 | MO |
National Provider Identifier
| NPI | 1013281427 |
|---|---|
| Provider Name | Heidi K Crull |
| First Address | Springfield, MO 65801-2580 |
| Second Address | Springfield, MO 65804-2239 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2012 |
| Last Update Date | 05/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10132814257 | (05) | MO |
| 191534758 | (05) | AR |
| 431560263 | TRICARE (01) | MO |
| P01036357 | RR MCR (01) | MO |
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.