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Individual

AUDREY YOUNG CRISSMAN

Active
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Individual

AUDREY YOUNG CRISSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00040205
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110239573
RAILROAD MEDICARE
WA
01
185190
INTERNAL ID-MOTOR VEHICLE ID
05
8319576
WA
Enumeration date
01/03/2007
Last updated
08/16/2024
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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