Provider Demographics
NPI:1356572721
Name:KRISPIN, ELIZABETH JOY (FNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JOY
Last Name:KRISPIN
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:2835 TYSON AVENUE
Mailing Address - Street 2:GW TEMPLE FAMILY MEDICAL ASSOCIATES
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149
Mailing Address - Country:US
Mailing Address - Phone:215-624-6162
Mailing Address - Fax:215-624-3732
Practice Address - Street 1:2835 TYSON AVENUE
Practice Address - Street 2:GW TEMPLE FAMILY MEDICAL ASSOCIATES
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149
Practice Address - Country:US
Practice Address - Phone:215-624-6162
Practice Address - Fax:215-624-3732
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2011-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP010799363L00000X
TN14269363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner