Individual provider · Type 1 NPI
Crystal Henry
General Practice Registered Nurse · Fort Lauderdale, FL
NPI number
1699320788
Active
Practice location
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Mailing address
4352 NW 29th St Apt 1
Lauderdale Lakes, FL 33313-1925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 9435951 (FL) |
General Practice Registered Nurse: Definition to come...
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About NPI 1699320788
Crystal Henry's National Provider Identifier is 1699320788, issued on Aug 6, 2019. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 6, 2019.