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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DEWANDA CROCHRELL

Active Sole Proprietor

MS. DEWANDA CROCHRELL is a Community Health Worker healthcare provider located in GRANITE CITY, Illinois. NPI 1790253466 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · GRANITE CITY, IL

Registration Details

NPI Number
1790253466
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2018 (7.7878347905304 yrs)
Last Updated
Nov 11, 2018
Sole Proprietor
Yes

Practice Information

Address
2116 EDISON AVE
GRANITE CITY, IL, 620404717
Browse IL providers · Browse ZIP 62040
Phone
6183341181
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.