Crystal Dale
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine Nurse Practitioner - Critical Care Medicine
743 Spring St Ne
Gainesville
, Georgia 30501-3715
Crystal Dale
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine Nurse Practitioner - Critical Care Medicine
743 Spring St Ne
Gainesville
, Georgia 30501-3715
(770) 219-8420
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Crystal Dale
- Po Box 742616
- Atlanta, GA
- Zip : 30374-2616
- Phone : (770) 219-8420
Second Address
- Crystal Dale
- 743 Spring St Ne
- Gainesville, GA
- Zip : 30501-3715
- Fax : (770) 534-8025
- Phone : (770) 534-2020
Reviews
FAQs
Where did Crystal Dale attend graduate school?
Where did Crystal Dale do her residency?
Where did Crystal Dale do her fellowship?
Is Crystal Dale board certified?
What type of doctor is Crystal Dale
In what state does Crystal Dale practice in?
Where is Crystal Dale ’s practice located?
What is Crystal Dale ’s gender?
Is Crystal Dale a sole practitioner?
Is Crystal Dale accepting new patients?
What languages does Crystal Dale speak?
Does Crystal Dale accept insurance?
Does Crystal Dale offers telemedicine?
What is Crystal Dale ’s professional license number?
What is Crystal Dale ’s NPI number?
Does Crystal Dale have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN198451 | GA |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | RN198451 | GA |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN198451 | GA |
National Provider Identifier
| NPI | 1245612654 |
|---|---|
| Provider Name | Crystal Dale |
| First Address | Atlanta, GA 30374-2616 |
| Second Address | Gainesville, GA 30501-3715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2015 |
| Last Update Date | 24/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.