Individual provider · Type 1 NPI

Mark Crystal

Registered Nurse · Grand Rapids, MI

NPI number 1336840123 Active

Practice location

5300 Patterson Ave SE Ste 100E
Grand Rapids, MI 49512-5663

Call (616) 222-5601 Map

Mailing address

1976 Glenn Canyon Dr SE
Caledonia, MI 49316-7688

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704352340 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1336840123

Mark Crystal's National Provider Identifier is 1336840123, issued on Mar 17, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 17, 2023.