| Doctor Name: | MS. ANDREA CRISP |
| NPI Number: | 1043475171 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN RN |
| License Number: | 68211 |
| Business Practice Address: | 64 John Crowe Rd Cherokee, NC - 28719 |
| Business Phone Number: | 8284979163 |
| Business Fax Number: | |
| Mailing Address: | 64 John Crowe Rd, CHEROKEE |
| State: | NC |
| Postal Code: | 28719 |
| Phone Number: | 8284979163 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2008 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 68211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |