Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | APRN.CNP.0029806 | OH |
NPI | 1205507589 |
---|---|
Provider Name | Autumn Elizabeth Crisp |
First Address | Akron, OH 44314-1235 |
Second Address | Akron, OH 44314-1235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2021 |
Last Update Date | 25/09/2021 |