Individual
CRYSTAL LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
262 STONES THROW AVE, LIVINGSTON, TX 77351-7016
(936) 328-7170
Mailing address
262 STONES THROW AVE, LIVINGSTON, TX 77351-7016
(936) 328-7170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1057136
TX
367A00000X
Advanced Practice Midwife
671904
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12586006
CAQH
—
Enumeration date
01/26/2012
Last updated
04/14/2022
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