Crystal De La Rosa, RN
Registered Nurse, Community Health in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1104711142
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1104711142
- Entity type
- Individual (NPI-1)
- Name
- Crystal De La Rosa
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2025
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | 9578454 | FL | Yes |
Practice location
1845 Holsonback DrDaytona Beach, FL 32117-5282
Phone 386-547-2039 · Fax 386-274-0518
Mailing address
104 Victoria Oaks BlvdDeland, FL 32724-7587
Phone 845-642-8507
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Health Registered Nurse providers in Daytona Beach, FL
- Margaret Benko, RNNPI 1790476240
- Lissette GrilloNPI 1700668126
- Danielle Lauriet Howard, RNNPI 1992693451
- Charlene Petretti, RNNPI 1700633039
- Karra J Rutherford, RNNPI 1457144115
All 6 Community Health Registered Nurse providers in Daytona Beach · All 3,665 providers in Daytona Beach
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