Hayley Michelle Crandall, IDMT
Individual provider Active NPI Independent Duty Corpsman · Holloman Afb, NM
NPI 1467686154 · NPPES record last updated Apr 30, 2018
Key facts
- NPI
- 1467686154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 49TH Medical Group/SGPF
280 First Street, BLDG 23
Holloman Afb, NM 88330-8273 - Phone
- (575) 572-2446
- Fax
- (575) 572-2259
- NPI assigned
- May 8, 2009
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes | ||
| Independent Duty Medical Technicians | 1710I1003X |
Addresses
Primary practice location
49TH Medical Group/SGPF
280 First Street, BLDG 23
Holloman Afb, NM 88330-8273
Mailing address
49TH Medical Group/SGPF
280 First Street, BLDG 23
Holloman Afb, NM 88330-8273
Phone (575) 572-2446
Other providers in Holloman Afb, NM
- Amanda Carter
- Andrew Y J Cho
- Daniel Albert Cieslak
- Jodi Clary
- Katherine Cler
- Joshua P Crum
- Sebastian Alejandro Cruz
- Shirley Dakin
- Courtney Davis
- Gensah Daye-Smith
All providers in Holloman Afb, NM · Independent Duty Corpsman in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.