Individual provider · Type 1 NPI

Crystal De la Rosa, RN

Community Health Registered Nurse · Daytona Beach, FL

NPI number 1104711142 Active

Practice location

1845 Holsonback Dr
Daytona Beach, FL 32117-5282

Fax (386) 274-0518

Mailing address

104 Victoria Oaks Blvd
Deland, FL 32724-7587

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X9578454 (FL)

Community Health Registered Nurse: Definition to come...

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About NPI 1104711142

Crystal De la Rosa, RN's National Provider Identifier is 1104711142, issued on Jun 10, 2025. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Daytona Beach, FL. The record was last updated on Jun 10, 2025.