IndividualActive
Carly Crull
NPI 1578021135 · Primary Care Nurse Practitioner · Pontiac, MI
Provider details
- NPI number
- 1578021135
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704291722 (MI)
Mailing address
3430 Farmers Creek Rd
Metamora, MI 48455-9791
Registry dates
- Enumerated
- 2019-03-03
- Last updated
- 2019-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.