Crystal Dalloo, FNP-C
Nurse Practitioner, Family in Farmington Hills, MI. Individual provider (NPI-1).
Details
- NPI
- 1144992124
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Crystal Dalloo
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2021
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704342831 | MI | Yes |
Practice location
28595 Orchard Lake Rd Ste 200Farmington Hills, MI 48334-2979
Phone 248-553-0010 · Fax 248-553-5957
Mailing address
28595 Orchard Lake Rd Ste 200Farmington Hills, MI 48334-2979
Phone 248-553-0010 · Fax 248-553-5957
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.
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