Individual
CRYSTAL LEWIS-HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
415 SILVER AVE SW, ALBUQUERQUE, NM 87102-3225
(866) 737-6015
(414) 622-3904
Mailing address
415 SILVER AVE SW, ALBUQUERQUE, NM 87102-3225
(505) 841-1000
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03202
NM
Other
Enumeration date
04/06/2017
Last updated
01/16/2025
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