CRYSTAL WELLS


Address: 39 Brentwood Rd, Bay Shore, NY 11706-8031
Phone: 6315917400

CRYSTAL WELLS (NPI# 1770009326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770009326
Entity Type Individual
Full Name CRYSTAL WELLS
Credential NP-C
Practice Address 39 Brentwood Rd
Bay Shore
NY 11706-8031
Mailing Address 1424 6th St
West Babylon
NY 11704-4522
Practice Telephone 6315917400
Enumeration Date 2017-08-16
Last Update Date 2017-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F308248 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers CRYSTAL WELLS

NPI Name Taxonomy Address Enumeration
1902281058 Crystal Wells Dental Hygienist 25473 Briar Dr, Oak Park, MI 48237-1334 2015-07-29
1881159549 Crystal Wells Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2019-02-07

Office Location

Street Address 39 BRENTWOOD RD
City BAY SHORE
State NY
Zip Code 11706-8031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922654037 Mahmoud Mohammedamin M Bokhari Internal Medicine 39 Brentwood Rd, Bay Shore, NY 11706-8031 2019-08-14
1891288031 Tara Leigh Hertz Registered Nurse 39 Brentwood Rd, Bay Shore, NY 11706 2018-06-12
1235628926 Janine Thomesen Nurse Practitioner 39 Brentwood Rd, Bay Shore, NY 11706-8031 2018-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598394173 Erin Marie Barlow Student in an Organized Health Care Education/Training Program Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 2020-04-06
1003460890 Bay Shore Brightwaters Rescue Ambulance Inc. Ambulance 911 Aletta Place, Bay Shore, NY 11706 2019-07-30
1861980872 Raffy Gutman Student in an Organized Health Care Education/Training Program Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 2018-04-25
1609371004 Sengal Kelit Alazar Student in an Organized Health Care Education/Training Program South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 2018-03-27
1780198671 Stefany Gabriela Armijos Social Worker 144 Fifth Ave, Bay Shore, NY 11706 2017-11-30
1417476771 Jazmin Unda Jimenez Licensed Practical Nurse 236 Adams Ave, Bay Shore, NY 11706 2017-09-18
1013436989 People Pushers LLC Non-emergency Medical Transport (VAN) 50 Corbin Ave, Suite D, Bay Shore, NY 11706 2017-09-12
1871011585 Life Acupuncture & Massage Therapy P.C. Acupuncturist 387 East Main Street Suite 104, Bayshore, NY 11706 2017-09-01
1558881458 Wilda Novembre Licensed Practical Nurse 1742 North Thompson Drive, Bayshore, NY 11706 2017-06-21
1194184085 Georgette Prawl Nurse's Aide 54 1st Avenue, Bayshore, NY 11706 2016-02-19
Find all providers in zip 11706

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073175600 John F Young Nurse Practitioner 301 E Main St # Pst, Bay Shore, NY 11706-8408 2019-07-03
1003476631 Cheryl Schoedler Nurse Practitioner 1075 Cassel Ave, Bay Shore, NY 11706-6115 2019-06-17
1184148827 Elizabeth Bonilla Nurse Practitioner 301 E Main St Bldg 217, Bay Shore, NY 11706-8408 2017-08-02
1265858377 Princy Paulson Nurse Practitioner 26 Debora Ct, Bay Shore, NY 11706-4056 2014-03-13
1043599319 Iverine M Anderson Nurse Practitioner 24 Princeton Street, Bay Shore, NY 11706-4237 2011-08-04
1780815480 Nicole Louis Beaubrun Nurse Practitioner 1211 Howells Rd, Bay Shore, NY 11706-1945 2009-07-30
1346425352 Cori Lynn Murphy-phillips Nurse Practitioner 116 S Penataquit Ave, Bay Shore, NY 11706-8825 2008-01-08
1457540601 Joseph A Fasano Nurse Practitioner 280 Montauk Highway, Bay Shore, NY 11706-9182 2007-10-23
1346895521 Andrea Alvarado Nurse Practitioner 301 E Main St, Bay Shore, NY 11706-8408 2019-08-05
1699290288 Argelia Nurse Practitioner In Adult Health PC Nurse Practitioner 200 Howells Rd, Bay Shore, NY 11706-5351 2017-08-04
Find all providers in BAY SHORE

Competitor

Search similar providers

City BAY SHORE
Zip Code 11706

Improve Information

Please comment or provide details below to improve the information on CRYSTAL WELLS.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches