Individual
MIRIAM FAITH CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
727 SE MAIN ST STE 120, SIMPSONVILLE, SC 29681
(864) 454-6500
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
17839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2059
—
SC
Enumeration date
06/15/2012
Last updated
05/19/2021
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