Individual
CRYSTAL MEDICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 913-2156
Mailing address
5381 MEMORY LN, MOUNT OLIVE, AL 35117-3225
(205) 934-9999
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-132176
AL
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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