Individual
CRYSTAL SCIARRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 E 1600 RD, LAWRENCE, KS 66046-9276
(785) 331-2355
Mailing address
1049 E 1600 RD, LAWRENCE, KS 66046-9276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016032082
MO
363LF0000X
Family Nurse Practitioner
Primary
53-76837-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TMP151155
NURSE PRACTITIONER TEMPORARY PERMIT
KS
Enumeration date
06/04/2015
Last updated
03/26/2019
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