Provider Demographics
NPI:1184359135
Name:SANFILIPPO, CRYSTAL E (APRN-BC)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:E
Last Name:SANFILIPPO
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:E
Other - Last Name:RHOADS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9224 PRESTMOOR PL
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7491
Mailing Address - Country:US
Mailing Address - Phone:931-787-5632
Mailing Address - Fax:
Practice Address - Street 1:5530 EULALA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6145
Practice Address - Country:US
Practice Address - Phone:615-988-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily