CRYSTAL DE LA ROSA RN NPI 1104711142

NPI Information

  • NPI: 1104711142
  • Provider Name: CRYSTAL DE LA ROSA, RN
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 1845 HOLSONBACK DR
    DAYTONA BEACH, FL
    ZIP 32117
  • Phone: (386) 547-2039

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NPI Details

Crystal De La Rosa, RN is a community health registered nurse in Daytona Beach, FL. Crystal De La Rosa, RN NPI is 1104711142. 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:

1845 HOLSONBACK DR
DAYTONA BEACH, FL
ZIP 32117-282
Phone: (386) 547-2039
Fax: (386) 274-0518

The enumeration date for this NPI number is 6/10/2025 and was last updated on 6/10/2025.

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
1163WC1500XRegistered NurseCommunity Health9578454FLORIDAYes

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: 11/21/2025

NPI Synchronization or Removal

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