Crisall, Santa

Crisall, Santa is an individual health care provider with primary practice located at 495 N 13Th St , Newark NJ 07107-1317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Crisall, Santa can be contacted via phone (973) 268-2492.

Contact Information

Primary practice address
495 N 13Th St Newark NJ 07107-1317
Phone: (973) 268-2492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NN71590 New Jersey

Profile Details

NPI number 1952356149
LBN Legal business name Crisall, Santa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952356149 NPPES
New Jersey MEDICAID 8459908

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