person
Carol D Crisp, PHD,MSN,FNP-BC
Family Nurse Practitioner in Springfield, Oregon
NPI 1689730616

Carol D Crisp is a Family Nurse Practitioner based in Medford, OR and is specialized in Family. Carol D Crisp practices in Springfield, OR and has the professional credentials of PHD,MSN,FNP-BC. The NPI Number for Carol D Crisp is 1689730616 and holds a License No. CNP61599 (Oregon).

The current practice location address for Carol D Crisp is 3312 Gateway St, Springfield, OR and can be reached out via phone at 541-204-4745.

Location: 3312 Gateway St, Springfield, OR, 97504-7657
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Provider Profile Details
NPI Number
1689730616
Provider Name
Carol D Crisp
Credential
PHD,MSN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3312 Gateway St, Springfield, OR, 97504-7657
Phone Number
541-204-4745
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10002835 01 OR STATE LICENSE
CNP61599 01 ID STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3312 Gateway St
City
State
Zip
97477-1054
Phone Number
541-204-4745
Fax Number
person
Provider Business Mailing Address Details
Address
3312 Gateway St
City
State
Zip
97477-1054
Phone Number
541-204-4745
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP61599 (Idaho)
Definition
Definition to come...
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