Individual
LUANN GREEN CRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-7777
(336) 641-6971
Mailing address
4712 CLIFTON PARK DR, JAMESTOWN, NC 27282-8927
(336) 880-0928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125493
NC
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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