Most Relevant Information
Provider Data
| NPI Number: | 1003687005 |
| Provider Name: | ABIGAIL ANN CRUM FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 71014702A |
Most Important Dates
| Enumeration Date: | 01/10/2024 |
| Last Updated: | 02/01/2024 |
Provider Practice Location
5165 MCCARTY LN
LAFAYETTE
IN
479058764
Practice Location Phone/Fax
| Phone: | 7654488000 |
| Fax: |
Provider Mailing Location
5165 MCCARTY LN
LAFAYETTE
IN
479058764
Provider Mailing Phone/Fax
| Phone: | 7654488000 |
| Fax: |