Individual
ALYSSA DANIELLE CRIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2824 ELKHART RD, GOSHEN, IN 46526
(574) 535-1700
(574) 535-1799
Mailing address
2824 ELKHART RD, GOSHEN, IN 46526-1014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201341150
—
IN
Enumeration date
12/13/2015
Last updated
04/24/2023
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