Crystal Keys Valid NPI

Individual provider · Licensed Practical Nurse · Little Rock, AR

NPI

1922425909

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L037972 (AR)

Sex

Female

Sole proprietor

No

Enumerated

2014-03-27

Last updated

2014-03-27