Provider Demographics
NPI:1619200730
Name:CRISP, PATRICIA (CHS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:CRISP
Suffix:
Gender:F
Credentials:CHS
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:CRISP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:4407 HOPSON RD
Mailing Address - Street 2:SUITE 2302
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8335
Mailing Address - Country:US
Mailing Address - Phone:919-381-5585
Mailing Address - Fax:
Practice Address - Street 1:4407 HOPSON RD
Practice Address - Street 2:SUITE 2302
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8335
Practice Address - Country:US
Practice Address - Phone:919-381-5585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist