Whalio Doctors

NPI 1013159177

Crystal Miller Proud, MD

Practitioner Neurology with Special Qualifications in Child Neurology Physician Norfolk, VA

Practice location

Address
850 Southampton Ave, Norfolk, VA 23510-1021
Phone
(757) 668-9920
Fax
(757) 668-9930

Registered specialties (3)

Neurology with Special Qualifications in Child Neurology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 0101258310 (VA)
Neurology with Special Qualifications in Child Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence A117087 (CA)
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0008X Licence 0101258310 (VA)

Registry record

NPI
1013159177
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Apr 2009
Record last updated
19 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.