Individual
DOMINIQUE CRISAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 803-1556
Mailing address
4523 CRESTBROOK DR, PANAMA CITY, FL 32404-5208
(850) 803-1556
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
703879
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
11010521
FL
Other
Enumeration date
02/24/2019
Last updated
09/28/2023
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