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Individual
MS. ANDREA CRISP
Active
Individual
MS. ANDREA CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
68211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68211
RN
NC
05
—
8600501
—
NC
Enumeration date
07/29/2008
Last updated
07/29/2008
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