Individual
CRYSTALLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1098 W BALTIMORE PIKE, SUITE 3106 RHC 3, MEDIA, PA 19063-5139
(610) 891-6240
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW010839
PA
Other
Enumeration date
11/21/2024
Last updated
02/19/2025
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