Most Relevant Information
Provider Data
| NPI Number: | 1003655572 |
| Provider Name: | REBECCA CRIMMINS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 71015427A |
Most Important Dates
| Enumeration Date: | 05/23/2024 |
| Last Updated: | 08/30/2024 |
Provider Practice Location
306 E VISTULA ST
BRISTOL
IN
465079489
Practice Location Phone/Fax
| Phone: | 5748484427 |
| Fax: | 5748484592 |
Provider Mailing Location
3245 HEALTH DR STE 100
GRANGER
IN
465301380
Provider Mailing Phone/Fax
| Phone: | 5746476592 |
| Fax: |