Individual
AMY W. CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 937-8841
(732) 418-8492
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00214100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224073
—
NJ
Enumeration date
02/13/2007
Last updated
03/19/2010
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