Individual
CRYSTAL ANN TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1309 S UNIVERSITY DR, NACOGDOCHES, TX 75961-6486
(936) 560-5668
Mailing address
PO BOX 632040, NACOGDOCHES, TX 75963-2040
(936) 585-7121
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP116902
TX
Other
Enumeration date
10/17/2007
Last updated
06/13/2024
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