Individual
CRYSTAL THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 GOVERNMENT BLVD STE 203, MOBILE, AL 36693-4310
(251) 300-7134
(251) 202-7851
Mailing address
3737 GOVERNMENT BLVD STE 203, MOBILE, AL 36693-4310
(251) 300-7134
(251) 202-7851
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-072567
AL
Other
Enumeration date
11/16/2016
Last updated
08/16/2019
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