CRYSTAL NICOLE BOHANNON

LOUISVILLE, KY
NPI1457738387
Former NameCRYSTAL NICOLE BRISTOE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3009368)
Enumeration Date2015-04-29
Last Update Date2020-06-10
Business Address
CRYSTAL NICOLE BOHANNON APRN-NP
8111 BARDSTOWN RD
LOUISVILLE, KY 40291-3441
Phone number: 502-231-7680
Mailing Address
CRYSTAL NICOLE BOHANNON APRN-NP
100 E LIBERTY ST SUITE 800
LOUISVILLE, KY 40202-1434
Phone number: 502-231-7680
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