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CRYSTAL NATHALIA NOVELOZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
330 CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 882-1487
(541) 783-3237
Mailing address
3949 SOUTH 6TH STREET, KLAMATH FALLS, OR 97603
(541) 882-1487
(541) 880-5590

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020068949
FL
363LF0000X
Family Nurse Practitioner
202207601NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
APRN11009981
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500806410
OR
Enumeration date
12/11/2020
Last updated
03/09/2026
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