Individual
MRS. CRYSTAL LEE KOMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
N8150 AMUNDSON COULEE RD, HOLMEN, WI 54636
(717) 343-8744
Mailing address
N8150 AMUNDSON COULEE RD, HOLMEN, WI 54636
(717) 343-8744
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
149023-32
WI
367A00000X
Advanced Practice Midwife
483
MN
367A00000X
Advanced Practice Midwife
CNM07255
—
Other
Enumeration date
09/09/2021
Last updated
10/21/2021
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