Crystal Axelson
Community Health Worker in Watonga, OK. Individual provider (NPI-1).
NPI number1831833367
StatusActive
Last updated in NPPESApr 21, 2022
Details
- NPI
- 1831833367
- Entity type
- Individual (NPI-1)
- Name
- Crystal Axelson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2022
- Certification date
- Apr 21, 2022
- Last updated
- Apr 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
216 W A StWatonga, OK 73772-4208
Phone 405-424-7711
Mailing address
514 N Newer AveWatonga, OK 73772-3227
Phone 605-360-4586
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