Individual provider · Type 1 NPI
Crystal Raville, RN
Adult Psychiatric/Mental Health Registered Nurse · Malone, NY
NPI number
1104228253
Active
Practice location
15 4th St
Malone, NY 12953-1340
Mailing address
3 Stone Rd
Malone, NY 12953-3431
Other practice locations
- 3 Stone Rd, Malone, NY 12953-3431 · (518) 319-0173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 83943601 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1104228253
Crystal Raville, RN's National Provider Identifier is 1104228253, issued on Sep 19, 2014. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Malone, NY. The record was last updated on Aug 22, 2022.