MARY CRANDALL CPNP NPI 1376780999

NPI Information

NPI: 1376780999
Provider Name: MARY CRANDALL, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1001 JOHNSON FERRY RD NE
CHILDRENS REHAB ASSOC AT CHILDR
ATLANTA, GA
ZIP 30342
Phone: (404) 785-3800
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Mary Crandall, CPNP is a pediatrics nurse practitioner in Atlanta, GA. Mary Crandall, CPNP NPI is 1376780999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 JOHNSON FERRY RD NE
CHILDRENS REHAB ASSOC AT CHILDR
ATLANTA, GA
ZIP 30342-605
Phone: (404) 785-3800
Fax: (404) 785-3808

The enumeration date for this NPI number is 1/20/2009 and was last updated on 6/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0200X	Clinical Nurse Specialist	Pediatrics	RN218676	GEORGIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	RN218676	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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