Moore, Crystal Lynn
Moore, Crystal Lynn is an individual health care provider with primary practice located at 1 University Rd Student Health Services, Pembroke NC 28372-8699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Crystal Lynn can be contacted via phone (910) 521-6219.Contact Information
Primary practice address
1 University Rd Student Health Services
Pembroke NC 28372-8699
Phone: (910) 521-6219
Fax: (910) 521-6549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5004143 | North Carolina |
Profile Details
| NPI number | 1770735078 |
|---|---|
| LBN Legal business name | Moore, Crystal Lynn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2008 |
| Last updated | Jan 14th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770735078 | NPPES |
| North Carolina | MEDICAID | 7005089 |
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