Crystal Lynn La Rose, CNM is a
Advanced Practice Midwife based in Whiteriver, Arizona. Crystal Lynn La Rose is licensed to practice in Arizona (license number 223670) and her current practice location is
Po Box 860, Whiteriver, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 338-4911.
NPI number for Crystal Lynn La Rose is 1033961180 and her current mailing address is 4040 Trotwood Dr, Lake Havasu City, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033961180.
Provider's Profile
Full Name | Crystal Lynn La Rose |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | Po Box 860, Whiteriver, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033961180
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 04/02/2024
Medical Identifiers
Medical identifiers for Crystal Lynn La Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033961180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 223670 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Lynn La Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Lynn La Rose, CNM 4040 Trotwood Dr, Lake Havasu City, AZ 86406-8007 Ph: (928) 302-0622 | Crystal Lynn La Rose, CNM Po Box 860, Whiteriver, AZ 85941-0860 Ph: (928) 338-4911 |
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