Most Relevant Information
Provider Data
| NPI Number: | 1003266313 |
| Provider Name: | CANDICE CRABB |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 168205-030 |
Most Important Dates
| Enumeration Date: | 06/16/2016 |
| Last Updated: | 09/21/2016 |
Provider Practice Location
2502 S ASHLAND AVE
GREEN BAY
WI
543045252
Practice Location Phone/Fax
| Phone: | 9204964777 |
| Fax: |
Provider Mailing Location
PO BOX 19070
GREEN BAY
WI
543079070
Provider Mailing Phone/Fax
| Phone: | 9202721112 |
| Fax: |