Individual
CRYSTAL DAWN LOWDER-TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1054 BOONES MILL RD, BOONES MILL, VA 24065-4318
(276) 724-0967
Mailing address
1054 BOONES MILL RD, BOONES MILL, VA 24065-4318
(276) 724-0967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024179874
VA
363LF0000X
Family Nurse Practitioner
Primary
0024179874
VA
Other
Enumeration date
08/23/2020
Last updated
08/04/2021
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