Individual
CRYSTAL O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6701 PETERS CREEK RD STE 110, ROANOKE, VA 24019-4060
(800) 765-7130
(540) 438-0023
Mailing address
6701 PETERS CREEK RD STE 110, ROANOKE, VA 24019-4060
(800) 765-7130
(885) 001-8918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024182120
VA
Other
Enumeration date
07/14/2021
Last updated
08/01/2022
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