Individual provider · Type 1 NPI

Crystal Anne Malone

Family Nurse Practitioner · South Bend, IN

NPI number 1588558449 Active

Practice location

4401 W Western Ave
South Bend, IN 46619-2600

Call (674) 725-7006 Map

Fax (574) 807-9614

Mailing address

1700 Mishawaka Ave
South Bend, IN 46615-1408

Other practice locations

  • 1700 Mishawaka Ave, South Bend, IN 46615-1408 · (574) 520-4014

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28248235A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1588558449

Crystal Anne Malone's National Provider Identifier is 1588558449, issued on Jun 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Aug 7, 2025.