Crystal Lee Martin
Technician, Personal Care Attendant in Fargo, ND. Individual provider (NPI-1).
NPI number1245082015
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1245082015
- Entity type
- Individual (NPI-1)
- Name
- Crystal Lee Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2024
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 251E00000X | Home Health | – | – |
Other names
- Crystal Lee Waxler (Former Name)
Practice location
533 20th St NFargo, ND 58102-4139
Phone 701-630-9288
Mailing address
505 28th Ave N Apt 5Fargo, ND 58102-1957
Phone 701-630-9288
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All 288 Personal Care Attendant providers in Fargo · All 8,598 providers in Fargo
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