CRYSTA DEVINE APRN NPI 1457009169

NPI Information

NPI: 1457009169
Provider Name: CRYSTA DEVINE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
109 E DIXIE AVE
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 505-2129
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Crysta Devine, APRN is a family nurse practitioner in Elizabethtown, KY. Crysta Devine, APRN NPI is 1457009169. 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:

109 E DIXIE AVE
ELIZABETHTOWN, KY
ZIP 42701-408
Phone: (270) 505-2129

The enumeration date for this NPI number is 3/11/2022 and was last updated on 3/11/2022.

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	363LF0000X	Nurse Practitioner	Family	3017544	KENTUCKY	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	3017544	OTHER	KENTUCKY	APRN LICENSE NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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