| Crystal Joy Lister, CNM, NP | |
|
150 Valpreda Rd, San Marcos, CA 92069-2973 | |
| (760) 736-6780 | |
| Not Available |
| Full Name | Crystal Joy Lister |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 150 Valpreda Rd, San Marcos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811207756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 581038 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 1917 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Beaver Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Joy Lister, CNM, NP 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: () - | Crystal Joy Lister, CNM, NP 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-6780 |
Kathleen S. Coco, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-7051 | |
Maria Zamora-flyr, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 150 Valpreda Road, San Marcos, CA 92069 Phone: 760-736-6780 Fax: 760-736-8740 | |
Ms. Eleanor Patricia Stewart-garbrecht, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6729 | |
Tanya Marie Belanger, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6780 | |
Mrs. Laureen Marie Hebert, CNM, FNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Kaiser Permanente San Marcos Medical Offices Obgyn, 400 Craven Road, San Marcos, CA 92078 Phone: 760-510-4046 Fax: 760-510-4142 | |
Cynthia Dickinson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6700 Fax: 760-736-6782 | |
Janna Lee Ekholm, CMW Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6700 Fax: 760-736-6782 |