Marion R Crenshaw

Individual provider Active NPI Case Manager/Care Coordinator · Covington, TN

NPI 1386790459 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386790459
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1997 Highway 51 S
Covington, TN 38019-3630
Phone
(901) 476-8967
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1997 Highway 51 S
Covington, TN 38019-3630

Mailing address

1997 Highway 51 S
Covington, TN 38019-3630
Phone (901) 476-8967

Other providers in Covington, TN

All providers in Covington, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.