Individual
LOUISE CRISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
739 S FOURTH ST, BALDWYN, MS 38824-2612
(662) 401-1472
Mailing address
747 HIGHWAY 366, BALDWYN, MS 38824-8922
(662) 401-1472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CRIS-BWTE5X
MS
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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