Individual
MRS. CRYSTAL NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
Mailing address
2802 MICKEY LN, LAKE CHARLES, LA 70607-7642
(337) 274-7839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
234778
LA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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