Crystal Wise, is a
Registered Nurse based in Prospect, Virginia. Crystal Wise is licensed to practice in Virginia (license number 0001290756) and her current practice location is
520 Tuggle Rd, Prospect, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 509-5235.
NPI number for Crystal Wise is 1548834625 and her current mailing address is 520 Tuggle Rd, Prospect, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548834625.
Provider's Profile
| Full Name | Crystal Wise |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
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| Location | 520 Tuggle Rd, Prospect, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548834625
- Provider Enumeration Date: 05/13/2021
- Last Update Date: 05/13/2021
Medical Identifiers
Medical identifiers for Crystal Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548834625 | NPI | - | NPPES |
| 0001290756 | Other | VA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0001290756 (Virginia) | 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 Wise 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 Wise,
520 Tuggle Rd,
Prospect, VA 23960-7919
Ph: (434) 509-5235 | Crystal Wise,
520 Tuggle Rd,
Prospect, VA 23960-7919
Ph: (434) 509-5235 |
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