Organization
CONSTANCE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL I CHRISTIAN APRN (OWNER/ NURSE PRACTITIONER)
(386) 348-1158
Entity
Organization
Contact information
Practice address
102 S PENINSULA DR APT 108, DAYTONA BEACH, FL 32118-4462
(386) 348-1158
Mailing address
102 S PENINSULA DR APT 108, DAYTONA BEACH, FL 32118-4462
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/21/2023
Last updated
01/13/2024
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