Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 9356366 | FL |
NPI | 1013422427 |
---|---|
Provider Name | Crystal Lynn Hummel |
First Address | Delray Beach, FL 33445-6676 |
Second Address | Delray Beach, FL 33484-6514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2017 |
Last Update Date | 07/12/2017 |