Individual provider · Type 1 NPI
Crystal Ma, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1780116566
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
21 N Chatsworth Ave, Apt 1F
Larchmont, NY 10538-2110
Other practice locations
- 201 Lyons Ave # L5, Newark, NJ 07112-2027 · (973) 926-7280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 26NJ01419400 (NJ) |
| Registered Nurse | 163W00000X | RN674320 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1780116566
Crystal Ma, CRNP's National Provider Identifier is 1780116566, issued on Mar 30, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 28, 2026.