Provider Demographics
NPI:1316836448
Name:CRUTCHER, KARLIE LYNNE (RN)
Entity type:Individual
Prefix:MRS
First Name:KARLIE
Middle Name:LYNNE
Last Name:CRUTCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:8640 BIG ROCK RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-3520
Mailing Address - Country:US
Mailing Address - Phone:858-617-9558
Mailing Address - Fax:858-249-0152
Practice Address - Street 1:9300 CAMPUS POINT DR # 7381
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1300
Practice Address - Country:US
Practice Address - Phone:858-657-7127
Practice Address - Fax:858-249-0152
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA745785163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse