Individual provider · Type 1 NPI
Crystal Maria Wells, RN
Assisted Living Facility · St. Petersburg, FL
NPI number
1457998874
Active · reactivated Jan 5, 2026
Practice location
800 64th Ave South
St. Petersburg, FL 33705
Mailing address
800 64th Ave S
St. Petersburg, FL 33705-5924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN9456333 (FL) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in St. Petersburg
About NPI 1457998874
Crystal Maria Wells, RN's National Provider Identifier is 1457998874, issued on Dec 4, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 4, 2026.