Individual
CRYSTAL RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2269 N GREEN VALLEY PKWY, HENDERSON, NV 89014-5025
(702) 855-0500
Mailing address
8965 ELATI CT, LAS VEGAS, NV 89148-5391
(845) 807-1013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07239
NC
363A00000X
Physician Assistant
014236-1
NY
363A00000X
Physician Assistant
55433
CA
363A00000X
Physician Assistant
Primary
PA2006
NV
363AM0700X
Medical Physician Assistant
002162
CT
Other
Enumeration date
10/08/2008
Last updated
09/05/2023
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