Individual
TIA MICHELLE CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
20 OHLTOWN RD, AUSTINTOWN, OH 44515-2331
(330) 884-1504
Mailing address
376 KINGWOOD DR, COLUMBIANA, OH 44408-1106
(330) 423-8259
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
026568
OH
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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