Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35-094121 | OH |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35.094121 | OH |
NPI | 1477675874 |
---|---|
Provider Name | Dr. Catrina Carleen Crisp |
First Address | Cincinnati, OH 45212-3359 |
Second Address | Cincinnati, OH 45069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3038457 | (05) | OH |