CRYSTAL ANNETTE RYDALCH FNP-C NPI 1639660418

NPI Information

  • NPI: 1639660418
  • Provider Name: CRYSTAL ANNETTE RYDALCH, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 N WOLFE AVE
    EDWARDS AFB, CA
    ZIP 93524
  • Phone: (616) 277-7118

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NPI Details

Crystal Annette Rydalch, FNP-C is a family nurse practitioner in Edwards Afb, CA. Crystal Annette Rydalch, FNP-C NPI is 1639660418. 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:

55 N WOLFE AVE
EDWARDS AFB, CA
ZIP 93524-227
Phone: (616) 277-7118

The NPI 1639660418 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 5/28/2018 and was last updated on 4/13/2023.

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
1363LF0000XNurse PractitionerFamily209.018127ILLINOISNo
2363LF0000XNurse PractitionerFamilyAP61171748WASHINGTONYes

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

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