CRYSTAL EZE PMHNP-BC NPI 1659193720

NPI Information

  • NPI: 1659193720
  • Provider Name: CRYSTAL EZE, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2505 W HAMMER LN
    STOCKTON, CA
    ZIP 95209
  • Phone: (209) 524-9401

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NPI Details

Crystal Eze, PMHNP-BC is a psychiatric/mental health nurse practitioner in Stockton, CA with 1 years of experience. Crystal Eze, PMHNP-BC NPI is 1659193720. 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:

2505 W HAMMER LN
STOCKTON, CA
ZIP 95209-839
Phone: (209) 524-9401

The NPI 1659193720 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 10/29/2024 and was last updated on 3/10/2025.

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
1163W00000XRegistered Nurse237818ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health237818ARIZONANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95033110CALIFORNIAYes

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: 3/30/2025

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