| Doctor Name: | MS. CRYSTAL S EARP |
| NPI Number: | 1356685739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 189765 |
| Business Practice Address: | 101 Baldwin Dr Leland, NC - 284518249 |
| Business Phone Number: | 9103831500 |
| Business Fax Number: | 9103831504 |
| Mailing Address: | 1721 Allens Ln, Ste 100 WILMINGTON |
| State: | NC |
| Postal Code: | 284033662 |
| Phone Number: | 9103831500 |
| Fax Number: | 9103831504 |
| NPI Enumeration Date: | 11/26/2012 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 189765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |