Provider Demographics
NPI:1477218303
Name:CRISP, NAAMA
Entity type:Individual
Prefix:MRS
First Name:NAAMA
Middle Name:
Last Name:CRISP
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NAAMA
Other - Middle Name:
Other - Last Name:DAVIDAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:BONDURANT HALL CB #7121
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7121
Mailing Address - Country:US
Mailing Address - Phone:919-962-8008
Mailing Address - Fax:
Practice Address - Street 1:BONDURANT HALL CB #7121
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7121
Practice Address - Country:US
Practice Address - Phone:919-962-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program