CRYSTAL PATH WELLNESS NURSING CORP NPI 1306790019

NPI Information

  • NPI: 1306790019
  • Provider Name: CRYSTAL PATH WELLNESS NURSING CORP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 4010 TRUXEL RD STE 170
    SACRAMENTO, CA
    ZIP 95834
  • Phone: (813) 494-4476

Map and Directions

Get Directions

NPI Details

CRYSTAL PATH WELLNESS NURSING CORP is a psychiatric/mental health nurse practitioner in Sacramento, CA. CRYSTAL PATH WELLNESS NURSING CORP NPI is 1306790019. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4010 TRUXEL RD STE 170
SACRAMENTO, CA
ZIP 95834-795
Phone: (813) 494-4476

The provider's authorized official is Lateefat Tiwalade Adele .
The authorized official title is Owner and has the following contact phone number (813) 494-4476.

The enumeration date for this NPI number is 2/21/2026 and was last updated on 2/21/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.