Individual
CHRYSTAL CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 380, MILWAUKEE, WI 53215-3632
(414) 649-3370
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10182
WI
363LA2100X
Acute Care Nurse Practitioner
10182
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101286
—
WI
Enumeration date
05/05/2020
Last updated
05/12/2025
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