| Doctor Name: | SELENA CRANDALL |
| NPI Number: | 1043635675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9238210 |
| Business Practice Address: | 3860 Sun City Center Blvd Ruskin, FL - 335736806 |
| Business Phone Number: | 8136331980 |
| Business Fax Number: | 8133555104 |
| Mailing Address: | 38135 Market Sq, ZEPHYRHILLS |
| State: | FL |
| Postal Code: | 335427505 |
| Phone Number: | 8135284975 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2014 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9238210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |