Individual
MRS. CRYSTAL PAGE WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
525 LILLY RD NE STE 210, OLYMPIA, WA 98506-5101
(360) 413-8550
(360) 413-8827
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60695241
WA
Other
Enumeration date
10/04/2013
Last updated
04/29/2021
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