| NPI | 1457540189 |
|---|---|
| Professional Name | CRYSTAL ANN BIRDSONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61577387) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10027979) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2024-10-03 |