Provider Demographics
NPI:1215259791
Name:CRYER, PATRICIA JANE (CFNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JANE
Last Name:CRYER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:JANE
Other - Last Name:BREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:928 N GLENWOOD BVD
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702
Mailing Address - Country:US
Mailing Address - Phone:903-595-6904
Mailing Address - Fax:
Practice Address - Street 1:928 N GLENWOOD BVD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702
Practice Address - Country:US
Practice Address - Phone:903-595-6904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily