Individual
CRYSTAL ANNE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 W WESTERN AVE, SOUTH BEND, IN 46619-2600
(674) 725-7006
(574) 807-9614
Mailing address
1700 MISHAWAKA AVE, SOUTH BEND, IN 46615-1408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28248235A
IN
Other
Enumeration date
06/05/2025
Last updated
08/07/2025
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