Individual provider · Type 1 NPI
Cody Lawrence Crisman, AGACNP-BC
Acute Care Nurse Practitioner · Victoria, TX
NPI number
1134713555
Active
Practice location
605 E San Antonio St Ste 430E
Victoria, TX 77901-6007
Mailing address
501 Blyth Rd
Victoria, TX 77904-2823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1030954 (TX) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1134713555
Cody Lawrence Crisman, AGACNP-BC's National Provider Identifier is 1134713555, issued on Feb 25, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Victoria, TX. The record was last updated on Feb 25, 2021.