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MS. EVERETTE DENETTE CRUDUP
NPI 1407509474
Student in an Organized Health Care Education/Training Program in Victorville, CA

Active since January 31, 2022
15400 CHOLAME RD, VICTORVILLE, CA 92392(760) 243-5417 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Everette Denette Crudup NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. EVERETTE DENETTE CRUDUP (NPI 1407509474) is an individual student in an organized health care education/training program in Victorville, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1407509474
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. EVERETTE DENETTE CRUDUP
Location Address15400 CHOLAME RDVictorville, CA 92392-2480
Mailing Address15400 Cholame RdVictorville, CA 92392-2480 · (760) 243-5417
Phone(760) 243-5417
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1407509474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15400 CHOLAME RD, Victorville, CA 92392
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLIFTON JACKSON
Community Health Worker
15400 CHOLAME RD
VICTORVILLE, CA 92392
San Bernardino County (760) 780-4500
RANFIS RANEIRO FRANCO MA
Day Training/Habilitation Specialist
15400 CHOLAME RD
VICTORVILLE, CA 92392
San Bernardino County (760) 243-5417
MRS. AHLAM HELEN AXELROD
Marriage & Family Therapist
15400 CHOLAME RD, SUITE B
VICTORVILLE, CA 92392
San Bernardino County (760) 245-4695
INNOCENT CHINEDU ODINIGWE
Day Training/Habilitation Specialist
15400 CHOLAME RD
VICTORVILLE, CA 92392
San Bernardino County (760) 243-5417
JESSICA LEE PICHETTE
Marriage & Family Therapist
15400 CHOLAME RD
VICTORVILLE, CA 92392
San Bernardino County (760) 780-4505
KAYSHA FARALA
Student in an Organized Health Care Education/Training Program
15400 CHOLAME RD
VICTORVILLE, CA 92392
San Bernardino County (760) 243-5417
MR. ISRAEL COX
Community Health Worker
15400 CHOLAME RD
VICTORVILLE, CA 92392
San Bernardino County (760) 243-5417
GWENDALYN STEWART
Counselor
15400 CHOLAME RD
VICTORVILLE, CA 92392
San Bernardino County (760) 245-4695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everette Crudup's NPI number?

The NPI number for Everette Crudup is 1407509474. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Everette Crudup located?

Everette Crudup practices at 15400 Cholame Rd, Victorville, CA 92392. The listed phone number is (760) 243-5417.

What is Everette Crudup's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Everette Crudup was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.