Individual
KRISTA CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA STUDENT
Contact information
Practice address
1413 CLEMENTINE CT, FORT COLLINS, CO 80526-4210
(801) 824-6867
Mailing address
34 500 E, SALT LAKE CITY, UT 84102
(801) 824-6867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11950468-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
08/28/2022
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