Individual
MS. CRYSTAL LYNN PARKHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61 CHESTNUT ST LOT 3, PHOENIX, NY 13135-2458
(315) 882-0639
Mailing address
61 CHESTNUT ST LOT 3, PHOENIX, NY 13135-2458
(315) 882-0639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
941324-01
NY
163WG0000X
General Practice Registered Nurse
941324-01
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
941324-01
NY
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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