Provider Demographics
NPI:1225030638
Name:CRUTCHFIELD, DIANE BROOKS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:BROOKS
Last Name:CRUTCHFIELD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 EAGLE NEST LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5137
Mailing Address - Country:US
Mailing Address - Phone:865-966-0844
Mailing Address - Fax:865-966-0329
Practice Address - Street 1:1223 EAGLE NEST LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5137
Practice Address - Country:US
Practice Address - Phone:865-966-0844
Practice Address - Fax:865-966-0329
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59961835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy