Crystal Plogger, LPN

Individual provider Active NPI Licensed Practical Nurse · Floyd, VA

NPI 1902587934 · NPPES record last updated Jul 31, 2023

Key facts

NPI
1902587934
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
0002052864 (VA)
Practice address
150 Longbeard Dr NE
Floyd, VA 24091-2389
Phone
(540) 230-8415
NPI assigned
Jul 31, 2023
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

State licenses

LicenseStateTypeSpecialty
0002052864VAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0002052864 VA Yes

Addresses

Primary practice location

150 Longbeard Dr NE
Floyd, VA 24091-2389

Mailing address

150 Longbeard Dr NE
Floyd, VA 24091-2389
Phone (540) 230-8415

Other providers in Floyd, VA

All providers in Floyd, VA · Licensed Practical Nurse in Virginia

Sources for this page

Verify at the official NPI Registry.