Individual
MS. CRYSTAL ANN BIRDSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11417 124TH AVE NE STE 100, KIRKLAND, WA 98033-4677
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10027979
OR
363L00000X
Nurse Practitioner
Primary
AP61577387
WA
Other
Enumeration date
10/18/2007
Last updated
10/03/2024
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