Crystal Lynn Burch, AGNP-C

Individual provider Active NPI Primary Care Nurse Practitioner · Hanover, MD

NPI 1487574075 · NPPES record last updated Aug 12, 2026

Key facts

NPI
1487574075
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
R204866 (MD)
Practice address
7661 Arundel Mills Blvd # 1075
Hanover, MD 21076-1305
Phone
(202) 596-8502
NPI assigned
Jul 15, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP200006110 DC
Primary Care Nurse Practitioner 363LP2300X R204866 MD Yes

Addresses

Primary practice location

7661 Arundel Mills Blvd # 1075
Hanover, MD 21076-1305

Mailing address

7661 Arundel Mills Blvd # 1075
Hanover, MD 21076-1305

Other providers in Hanover, MD

All providers in Hanover, MD · Primary Care Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.