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CRYSTAL UPTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
151 PARKVIEW DR, MILLERSBURG, OH 44654-8949
(330) 674-2822
(330) 674-1200
Mailing address
981 WOOSTER RD, MILLERSBURG, OH 44654-1536
(330) 674-1015
(330) 763-8679

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
APRN.CNM.019359
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.024836
OH

Other

Enumeration date
02/01/2018
Last updated
04/28/2020
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