Individual
CRYSTAL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - FNP
Contact information
Practice address
16538 W 159TH TER, OLATHE, KS 66062-3924
(913) 588-1227
Mailing address
110 MASTERS WAY, KINGSLAND, GA 31548-6790
(617) 412-7237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN306903
GA
363L00000X
Nurse Practitioner
2025019608
MO
363L00000X
Nurse Practitioner
Primary
53-84539
KS
363LF0000X
Family Nurse Practitioner
RN306903
GA
Other
Enumeration date
08/19/2024
Last updated
09/09/2025
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