Delisfort-Crisostomo, Dorothy

Delisfort-Crisostomo, Dorothy is an individual health care provider with primary practice located at 4228 1St Ave Ste 1 , Tucker GA 30084-4426. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Delisfort-Crisostomo, Dorothy can be contacted via phone (833) 583-4778.

Contact Information

Primary practice address
4228 1St Ave Ste 1 Tucker GA 30084-4426
Phone: (833) 583-4778
Fax: (833) 583-4779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN141244 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN141244 Georgia

Profile Details

NPI number 1013450816
LBN Legal business name Delisfort-Crisostomo, Dorothy
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2016
Last updated Apr 15th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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