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Mr. Tyler Wade Crane, AGACNP-BC
Student in an Organized Health Care Education/Training Program in Mocksville, North Carolina
NPI 1548711385

Tyler Wade Crane is a Student in an Organized Health Care Education/Training Program based in Statesville, NC. Tyler Wade Crane practices in Mocksville, NC and has the professional credentials of AGACNP-BC. The NPI Number for Tyler Wade Crane is 1548711385 and holds a License No. 5009002 (North Carolina).

The current practice location address for Tyler Wade Crane is 375 Hospital St Ste 200, Mocksville, NC and can be reached out via phone at 336-751-2121.

Location: 375 Hospital St Ste 200, Mocksville, NC, 28687-1845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548711385
Provider Name
Tyler Wade Crane
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
375 Hospital St Ste 200, Mocksville, NC, 28687-1845
Phone Number
336-751-2121
Fax Number
Provider Enumeration Date
10/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
375 Hospital St Ste 200
City
Mocksville
State
North Carolina
Zip
27028
Phone Number
336-751-2121
Fax Number
person
Provider Business Mailing Address Details
Address
375 Hospital St Ste 200
City
Mocksville
State
North Carolina
Zip
27028
Phone Number
336-751-2121
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
255846 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
5009002 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5009002 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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