Individual provider · Type 1 NPI

Crystal Maggard

Nurse Practitioner · Shipshewana, IN

NPI number 1356792972 Active

Practice location

8175 W US Highway 20
Shipshewana, IN 46565-9169

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X28157248A (IN)
Nurse Practitioner Primary 363L00000X71006403A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1356792972

Crystal Maggard's National Provider Identifier is 1356792972, issued on Jun 24, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shipshewana, IN. The record was last updated on Oct 8, 2022.