Individual
CRYSTAL LYNN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
39 TARYBELU LN, CHINA, ME 04358-4000
(207) 968-2061
Mailing address
39 TARYBELU LN, CHINA, ME 04358-4000
(207) 968-2061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN66492
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN66492
MAINE STATE BOARD OF NURSING
ME
Enumeration date
04/24/2017
Last updated
04/24/2017
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