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 |