Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | APRN9305336 | FL |
NPI | 1023197613 |
---|---|
Provider Name | Robin Lee Crum |
First Address | Sunrise, FL 33323-2896 |
Second Address | Pembroke Pines, FL 33024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 21/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04871800 | (05) | MS |
185229 | LICENSE (01) | GA |
ARNP9305336 | FLORIDA LICENSE (01) | FL |
R878113 | MS CNM LICENSE (01) | MS |