Individual
KRYSTAL M MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0034807
OH
363L00000X
Nurse Practitioner
2025054136
MO
363L00000X
Nurse Practitioner
Primary
3008181
KY
363L00000X
Nurse Practitioner
908061
MS
363L00000X
Nurse Practitioner
APRN11044713
FL
363LF0000X
Family Nurse Practitioner
3008181
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201204360
—
IN
05
—
7100261310
—
KY
Enumeration date
08/23/2013
Last updated
01/21/2026
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