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Crystal Alack, R.N. WHNP

Nurse Practitioner, Women's Health in Covington, LA. Individual provider (NPI-1).

NPI number1992116255
StatusActive
Last updated in NPPESMay 8, 2014

Details

NPI
1992116255
Entity type
Individual (NPI-1)
Name
Crystal Alack
Credential
R.N. WHNP
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2014
Last updated
May 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's Health111536LAYes

Practice location

77 Starbrush Circle
Covington, LA 70433

Phone 985-893-0995

Mailing address

77 Starbrush Circle
Covington, LA 70433

Phone 985-893-0995 · Fax 985-893-8910

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