Theresa M Crull, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN034207 Issued in AZ

Practice address

4494 W Peoria Ave
Glendale, AZ 85302-2023

Phone

(623) 486-5232

NPI assigned

Dec 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1548443104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVENUE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853020000",
            "telephone_number": "623-486-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022023",
            "telephone_number": "623-486-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRULL",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN034207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Scott Crouse, D.C.
• Richard Alan Crow, MA, LPC, NCC
• Janet Lynn Crowl, O.T.
• Kathleen Lynne Crowley, D.D.S.
• Michael Bradley Crowley, D.D.S.
• Angel Cruz, DO
• Angelica Cruz
• Ceferino A Cruz, DO
• Victoria Rose Cruz, B.S.
• Crystal Joy Care Home

• Women's Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.