Krystal Lee Alexis
Individual provider Active NPI Licensed Practical Nurse · Spring Valley, NY
NPI 1265874994 · NPPES record last updated Jul 23, 2013
Key facts
- NPI
- 1265874994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 311131-1 (NY)
- Practice address
- 2 Jordan PL
Spring Valley, NY 10977-3111 - Phone
- (845) 558-2638
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311131-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 311131-1 | NY | Yes |
Addresses
Primary practice location
2 Jordan PL
Spring Valley, NY 10977-3111
Mailing address
2 Jordan PL
Spring Valley, NY 10977-3111
Phone (845) 558-2638
Other providers in Spring Valley, NY
- Vivianne Albert
- Analyn Alcoreza
- Rebecca Alexandre
- Catherine Alexis
- Dieufanie St Jean Alexis
- Valerie Alexis
- Syed Nisar Ali
- Rebecca Alis
- Allcare Ambulette Inc
- Therese R Allen
All providers in Spring Valley, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.