Individual
CRYSTAL KAY LIEBLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 985-9681
(810) 985-5310
Mailing address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 985-9681
(810) 985-5310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704239482
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704239482
MI
Other
Enumeration date
03/25/2016
Last updated
01/09/2025
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