Individual
CRYSTAL LYNN O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 HANOVER ST, FALL RIVER, MA 02720-5444
(508) 973-8611
(508) 973-8615
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2260144
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110134143A
—
MA
Enumeration date
06/29/2009
Last updated
09/08/2024
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