NPI 1548900194
Tatanisha Crumble
Practice location
- Address
- 623 Slate Dr APT B, Indianapolis, IN 46227-5086
- Phone
- (317) 238-0294
Registered specialties
Child Mental Illness Respite Care
Primary
Registry record
- NPI
- 1548900194
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Mar 2022
- Record last updated
- 31 Mar 2022
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.