Most Relevant Information
Provider Data
| NPI Number: | 1003284290 |
| Provider Name: | CRYSTAL-ANN SPANN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | RN60089490 |
Most Important Dates
| Enumeration Date: | 09/04/2015 |
| Last Updated: | 08/06/2019 |
Provider Practice Location
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA
WA
984312858
Practice Location Phone/Fax
| Phone: | 2539663677 |
| Fax: |
Provider Mailing Location
9040 REID ST, ATTN: MCHJ-CLQ-C
MADIGAN ARMY MEDICAL CENTER
TACOMA
WA
984310001
Provider Mailing Phone/Fax
| Phone: | 2539663677 |
| Fax: |