Individual
AUTUMN ELIZABETH CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
APRN.CNP.0029806
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
95020313
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0029806
OH
Other
Enumeration date
09/25/2021
Last updated
10/30/2024
Update your record
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