Individual provider · Type 1 NPI
Crystal Fennessy
Specialist · Fort Lauderdale, FL
NPI number
1881914232
Active
Practice location
3045 N Federal Hwy Ste 60H
Fort Lauderdale, FL 33306-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA56026 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1881914232
Crystal Fennessy's National Provider Identifier is 1881914232, issued on Jun 8, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 8, 2010.