Individual
CRYSTAL PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
140 BRYAN BLVD, CORBIN, KY 40701-2775
(606) 523-2005
(606) 523-9704
Mailing address
140 BRYAN BLVD, CORBIN, KY 40701-2775
(606) 523-2005
(606) 523-9704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005650
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000601702
ANTHEM
KY
05
—
7100061250
—
KY
Enumeration date
09/09/2008
Last updated
11/07/2018
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