Individual
MRS. CRYSTAL SUE HAMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7000
(651) 982-7110
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
(913) 215-5008
(816) 447-3960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220700
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790126837
—
MO
Enumeration date
07/16/2013
Last updated
10/24/2019
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