Individual
CRYSTAL ALACK
Active
Individual
CRYSTAL ALACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
111536
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111536
NP LICENSE #
LA
Enumeration date
05/08/2014
Last updated
05/08/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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