Crisp, Amy Caitlyn

Crisp, Amy Caitlyn is an individual health care provider with primary practice located at 900 W Faris Rd , Greenville SC 29605-4255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crisp, Amy Caitlyn can be contacted via phone (864) 455-7070.

Contact Information

Primary practice address
900 W Faris Rd Greenville SC 29605-4255
Phone: (864) 455-7070
Fax: (864) 454-4669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22131 South Carolina

Profile Details

NPI number 1336614049
LBN Legal business name Crisp, Amy Caitlyn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated May 26th, 2021 - about 5 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 1336614049 NPPES
South Carolina MEDICAID NP5524

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