CRYSTAL NATHALIA NOVELOZO FNP NPI 1922694173

NPI Information

NPI: 1922694173
Provider Name: CRYSTAL NATHALIA NOVELOZO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
330 CHILOQUIN BLVD
CHILOQUIN, OR
ZIP 97624
Phone: (541) 882-1487
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Crystal Nathalia Novelozo, FNP is a family nurse practitioner in Chiloquin, OR with 4 years of experience. Crystal Nathalia Novelozo, FNP NPI is 1922694173. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 CHILOQUIN BLVD
CHILOQUIN, OR
ZIP 97624-747
Phone: (541) 882-1487
Fax: (541) 783-3237

The NPI 1922694173 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 12/11/2020 and was last updated on 11/7/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2020068949	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN11009981	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	202207601NP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500806410	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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