Provider Demographics
NPI:1760561849
Name:CRUMPTON, CHARLENE RENE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:RENE
Last Name:CRUMPTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CHARLENE
Other - Middle Name:RENE
Other - Last Name:HOLDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:800 BEAVER RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:ASHVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35953-6708
Mailing Address - Country:US
Mailing Address - Phone:205-592-1150
Mailing Address - Fax:
Practice Address - Street 1:800 BEAVER RIDGE CIR
Practice Address - Street 2:
Practice Address - City:ASHVILLE
Practice Address - State:AL
Practice Address - Zip Code:35953-6708
Practice Address - Country:US
Practice Address - Phone:205-592-1150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-090560163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation