Provider Demographics
NPI:1669843439
Name:CRUMP, ALESHIA (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALESHIA
Middle Name:
Last Name:CRUMP
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2217
Mailing Address - Country:US
Mailing Address - Phone:610-622-7933
Mailing Address - Fax:610-622-7937
Practice Address - Street 1:3030 GARRETT RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2217
Practice Address - Country:US
Practice Address - Phone:610-622-7933
Practice Address - Fax:610-622-7937
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0067573163W00000X
DELG-0011730363LF0000X
PASP015264363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse