Mrs. Crystal Marie Stanberry
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care and 3 more
1205 E 35th St
Texarkana
, Arkansas 71854-2746
Mrs. Crystal Marie Stanberry
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care and 3 more
1205 E 35th St
Texarkana
, Arkansas 71854-2746
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mrs. Crystal Marie Stanberry
- 11267 Highway 82
- Texarkana, AR
- Zip : 71854-0844
- Phone :
Second Address
- Mrs. Crystal Marie Stanberry
- 1205 E 35th St
- Texarkana, AR
- Zip : 71854-2746
- Phone : (903) 735-5355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A005171 | AR |
| N | 363LA2200X | Nurse Practitioner - Adult Health | A005171 | AR |
| N | 363LA2200X | Nurse Practitioner - Adult Health | AP134293 | TX |
| N | 363LG0600X | Nurse Practitioner - Gerontology | A005171 | AR |
| N | 363LG0600X | Nurse Practitioner - Gerontology | AP134293 | TX |
| N | 363LP2300X | Nurse Practitioner - Primary Care | A005171 | AR |
| N | 363LP2300X | Nurse Practitioner - Primary Care | AP134293 | TX |
National Provider Identifier
| NPI | 1053840082 |
|---|---|
| Provider Name | Mrs. Crystal Marie Stanberry |
| First Address | Texarkana, AR 71854-0844 |
| Second Address | Texarkana, AR 71854-2746 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2017 |
| Last Update Date | 21/04/2021 |
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.