| NPI | 1508258328 |
|---|---|
| Former Name | CRISSY D BAGGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 163375) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2018-03-17 |