Individual provider · Type 1 NPI
Crystal Gayle Self, CRNP
Family Nurse Practitioner · Birmingham, AL
NPI number
1164984035
Active
Practice location
2700 10th Ave S Ste 444
Birmingham, AL 35205-1250
Mailing address
8434 Wade Rd
Warrior, AL 35180-3064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1-105083 (AL) |
| Family Nurse Practitioner Primary | 363LF0000X | 1-105083 (AL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1164984035
Crystal Gayle Self, CRNP's National Provider Identifier is 1164984035, issued on Apr 1, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Birmingham, AL. The record was last updated on May 4, 2021.