Individual
KRYSTAL FALLEN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
800 SHARE DR, ALVA, OK 73717-3618
(580) 327-2800
Mailing address
1202 5TH ST, ALVA, OK 73717-3108
(918) 927-4157
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0113494
OK
363LF0000X
Family Nurse Practitioner
Primary
205584
OK
Other
Enumeration date
09/21/2021
Last updated
07/18/2025
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