Larrimore, Crystal L

Larrimore, Crystal L is an individual health care provider with primary practice located at 880 Rutledge Pike , Blaine TN 37709-2317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larrimore, Crystal L can be contacted via phone (865) 933-4110.

Contact Information

Primary practice address
880 Rutledge Pike Blaine TN 37709-2317
Phone: (865) 933-4110
Fax: (865) 933-4729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26004 Tennessee

Profile Details

NPI number 1225663651
LBN Legal business name Larrimore, Crystal L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2020
Last updated May 2nd, 2023 - about 3 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 1225663651 NPPES
Tennessee MEDICAID Q062482

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