Crystal Wise

Registered Nurse · Prospect, VA

Individual Active NPI

NPI number 1548834625

Practice location

520 Tuggle Rd
Prospect, VA 23960-7919
Phone
(434) 509-5235
Fax
(434) 223-1423

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NPI record

NPI
1548834625
Entity type
Individual (Type 1)
Enumeration date
May 13, 2021
Last updated
May 13, 2021
Certified
May 13, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 0001290756 VA

About Crystal Wise

Crystal Wise is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 520 Tuggle Rd, Prospect, VA 23960-7919. The NPI number 1548834625 was assigned on May 13, 2021 and the record was last updated on May 13, 2021.

Crystal Wise lists a license in the registry: #0001290756 (VA) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Wise?

The NPI number is 1548834625.

What is the phone number of Crystal Wise?

The phone number listed for the practice location is (434) 509-5235.

Where is Crystal Wise located?

520 Tuggle Rd, Prospect, VA 23960-7919.

What is the taxonomy code for Crystal Wise?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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