Souza, Crystal Lise

Souza, Crystal Lise is an individual health care provider with primary practice located at 450 Clinton St , Woonsocket RI 02895-3207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Souza, Crystal Lise can be contacted via phone (401) 767-4100.

Contact Information

Primary practice address
450 Clinton St Woonsocket RI 02895-3207
Phone: (401) 767-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10730 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN00778 Rhode Island

Profile Details

NPI number 1467826693
LBN Legal business name Souza, Crystal Lise
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2015
Last updated Aug 25th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467826693 NPPES
Rhode Island MEDICAID 1467826693

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