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Individual
CRYSTAL LYNN BURCH
Active
Individual
CRYSTAL LYNN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP200006110
DC
363LA2200X
Adult Health Nurse Practitioner
NP200006110
DC
363LA2200X
Adult Health Nurse Practitioner
Primary
R204866
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R204866
MD
Other
Enumeration date
07/15/2026
Last updated
10/16/2026
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