Individual provider · Type 1 NPI

Santa Crisall, RN

Gerontology Nurse Practitioner · Newark, NJ

NPI number 1952356149 Active

Practice location

495 N 13th St
Newark, NJ 07107-1317

Mailing address

222 Kinderkamack Rd
Oradell, NJ 07649-2259

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNN71590 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1952356149

Santa Crisall, RN's National Provider Identifier is 1952356149, issued on May 24, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Newark, NJ. The record was last updated on Jul 13, 2026.