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CRYSTAL ALLEN APRN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1811527492
Individual Registrant: CRYSTAL ALLEN APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
16 HOSPITAL CIR STE A BATESVILLE, AR 72501-7343 US
Tel: 870-793-7519 Fax: 870-793-8146
Tel: 870-793-7519 Fax: 870-793-8146
Contact information for business:
16 HOSPITAL CIR STE A BATESVILLE, AR 72501-7343 US
Tel: 870-793-7519 Fax: --
Tel: 870-793-7519 Fax: --
Registration Information:
NPI: 1811527492
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163W00000X | Nursing Service Providers Registered Nurse | AR | R095526 |
| Y | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AR | 123697 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| APRN LICENSE | 123697 | AR | 01 |
