Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Everette Denette Crudup

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407509474

MS. Everette Denette Crudup is a Student in an Organized Health Care Education/Training Program in Victorville, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

15400 Cholame Rd
Victorville, CA 92392-2480
Phone: (760) 243-5417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407509474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022

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