Individual
CRYSTAL LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8207 MEADOW BROOK WAY, WISE, VA 24293
(276) 393-9890
(276) 598-1690
Mailing address
PO BOX 1688, WISE, VA 24293-1688
(276) 393-9890
(276) 598-1690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171577
VA
Other
Enumeration date
01/15/2013
Last updated
06/07/2024
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