Individual
SAMANTHA VILLAFUERTE CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7556 TEAGUE RD STE 112, HANOVER, MD 21076-1969
(410) 514-6041
Mailing address
7556 TEAGUE RD STE 112, HANOVER, MD 21076-1969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R211478
MD
363LF0000X
Family Nurse Practitioner
Primary
R211478
MD
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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