Individual
CRYSTAL MARIA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9456333
FL
171M00000X
Case Manager/Care Coordinator
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
06/04/2026
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