KHALILAH KRYSTAL LARUE CNP NPI 1255578548

NPI Information

Khalilah Krystal Larue, CNP is a psychiatric/mental health nurse practitioner in Columbus, OH with 16 years of experience. Khalilah Krystal Larue, CNP NPI is 1255578548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

16 W LONG ST
COLUMBUS, OH
ZIP 43215-815
Phone: (614) 225-0990

The NPI 1255578548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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