| NPI | 1457540189 |
|---|---|
| Professional Name | CRYSTAL ANN BIRDSONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0990315-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0110549) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2024-06-14 |