KRYSTAL LYNN CRECELIUS NP NPI 1023549862

NPI Information

NPI: 1023549862
Provider Name: KRYSTAL LYNN CRECELIUS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
Phone: (314) 652-4100
Get Directions

Krystal Lynn Crecelius, NP is a family nurse practitioner in Saint Louis, MO. Krystal Lynn Crecelius, NP NPI is 1023549862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106-621
Phone: (314) 652-4100

The NPI 1023549862 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 3/23/2017 and was last updated on 3/19/2024.

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	363LF0000X	Nurse Practitioner	Family	2017024419	MISSOURI	Yes
2	363LF0000X	Nurse Practitioner	Family	209017720	ILLINOIS	No

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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