Individual provider · Type 1 NPI

Crystal Shuandale Killian, NP

Adult Health Nurse Practitioner · Gastonia, NC

NPI number 1114493111 Active

Practice location

1875 Remount Rd
Gastonia, NC 28054-7413

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5011122 (NC)
Primary Care Nurse Practitioner 363LP2300X5011122 (NC)
Adult Health Nurse Practitioner Primary 363LA2200X5011122 (NC)
Gerontology Nurse Practitioner 363LG0600X5011122 (NC)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114493111

Crystal Shuandale Killian, NP's National Provider Identifier is 1114493111, issued on Oct 17, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Gastonia, NC. The record was last updated on Feb 10, 2026.