Provider Demographics
NPI:1801907589
Name:DRESCHER-CRUMPLEY, AMY (DNP, CNM, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:DRESCHER-CRUMPLEY
Suffix:
Gender:F
Credentials:DNP, CNM, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 DEAN ST STE 3G
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-4830
Mailing Address - Country:US
Mailing Address - Phone:630-254-8872
Mailing Address - Fax:
Practice Address - Street 1:2455 DEAN ST STE 3G
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-4830
Practice Address - Country:US
Practice Address - Phone:630-254-8872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL309-002705367A00000X
IL277001413363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife