MRS. CRYSTAL LEANN LANDRUM BC-FNP NPI 1851658496

NPI Information

NPI: 1851658496
Provider Name: MRS. CRYSTAL LEANN LANDRUM, BC-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1304 13TH AVE SE STE D
DECATUR, AL
ZIP 35601
Phone: (256) 355-7665
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MRS. Crystal Leann Landrum, BC-FNP is a family nurse practitioner in Decatur, AL. MRS. Crystal Leann Landrum, BC-FNP NPI is 1851658496. 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:

1304 13TH AVE SE STE D
DECATUR, AL
ZIP 35601-316
Phone: (256) 355-7665
Fax: (256) 686-3241

The enumeration date for this NPI number is 4/20/2012 and was last updated on 1/7/2015.

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	1-093034	ALABAMA	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	511-26863	OTHER	ALABAMA	BCBS
2	140473	MEDICAID	ALABAMA

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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