Individual
CRYSTAL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 685-6570
Mailing address
1930 S BROAD ST UNIT 2, PHILADELPHIA, PA 19145-2328
(216) 685-6570
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP021310
PA
Other
Enumeration date
01/05/2020
Last updated
06/30/2024
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