Individual
CRYSTAL LEAH DAVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3920 ST FRANCIS WAY STE 209, LAFAYETTE, IN 47905-4917
(765) 775-2830
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28168410A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010068
—
IN
Enumeration date
10/13/2017
Last updated
02/15/2021
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