Individual
CRYSTAL TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
PO BOX 161, WILLARD, UT 84340-0161
(435) 287-5092
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9806366-4405
UT
Other
Enumeration date
04/07/2025
Last updated
05/07/2026
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