Individual
CRYSTAL MARIE MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5089 SE 1 1/2 AVE, NEW PLYMOUTH, ID 83655-5254
(986) 207-1720
(866) 531-4582
Mailing address
5089 SE 1 1/2 AVE, NEW PLYMOUTH, ID 83655-5254
(986) 207-1720
(866) 531-4582
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202008407NP-PP
OR
363L00000X
Nurse Practitioner
55712
ID
Other
Enumeration date
09/17/2020
Last updated
01/14/2025
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