Organization · Type 2 NPI
Crystal City Emergency Services, LLC
Nurse Practitioner · Crystal City, MO
Practice location
Highway 61 South
Crystal City, MO 63019
Fax (904) 805-1302
Mailing address
PO Box 827431
Philadelphia, PA 19182-7431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
3 other providers at this address
About NPI 1801844618
Crystal City Emergency Services, LLC's National Provider Identifier is 1801844618, issued on May 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crystal City, MO. The record was last updated on Sep 11, 2025.