Individual provider · Type 1 NPI
Crystal Rose Parker
Psychiatric/Mental Health Nurse Practitioner · Fort Irwin, CA
NPI number
1104414705
Active
Practice location
390 North Loop Rd
Fort Irwin, CA 92310
Mailing address
PO Box 10621
Fort Irwin, CA 92310-0621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 329268 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 251943 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Fort Irwin
About NPI 1104414705
Crystal Rose Parker's National Provider Identifier is 1104414705, issued on Jan 8, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Irwin, CA. The record was last updated on Jul 23, 2025.