Stillwell, Crystal

Stillwell, Crystal is an individual health care provider with primary practice located at 2730 E Sunshine St , Springfield MO 65804-2047. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Stillwell, Crystal can be contacted via phone (417) 883-0600.

Contact Information

Primary practice address
2730 E Sunshine St Springfield MO 65804-2047
Phone: (417) 883-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2015027436 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2015027436 Missouri

Profile Details

NPI number 1649649773
LBN Legal business name Stillwell, Crystal
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2015
Last updated Dec 13th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649649773 NPPES
Missouri MEDICAID 1649649773

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