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Danielle Marie Crum, FNP-BC

Nurse Practitioner in Charlotte, NC. Individual provider (NPI-1).

NPI number1457941007
StatusActive
Last updated in NPPESAug 16, 2022

Details

NPI
1457941007
Entity type
Individual (NPI-1)
Name
Danielle Marie Crum
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2021
Certification date
Aug 16, 2022
Last updated
Aug 16, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner5013987NCYes

Practice location

4707 South Blvd
Charlotte, NC 28217-2117

Phone 704-525-6288

Mailing address

4707 South Blvd
Charlotte, NC 28217-2117

Phone 704-619-4914 · Fax 704-525-6283

Other practice locations

15720 Brixham Hill Ave Ste 130
Charlotte, NC 28277-4784

Phone 704-541-5555

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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