Crystal Cartledge
Individual provider Active NPI Diabetes Educator Registered Nurse · Mount Airy, NC
NPI 1982145256 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1982145256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 104194 (NC)
- Practice address
- 280 N Pointe Blvd
Mount Airy, NC 27030-2267 - Phone
- (336) 786-4133
- NPI assigned
- Mar 20, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 104194 | NC | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 104194 | NC | Yes |
Addresses
Primary practice location
280 N Pointe Blvd
Mount Airy, NC 27030-2267
Mailing address
PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 786-4522
Other providers in Mount Airy, NC
- Carolina Residential Services, Inc
- Carolina Residential Services, Inc.
- James Carpenter
- Thomas James Carpenter
- Angel Luis Cartagena Jr.
- Charlotte Watson Cassell
- Elizabeth Casstevens
- Beth Casto
- CCC of Mt. Airy, Inc
- Cel Tel Corp
All providers in Mount Airy, NC · Diabetes Educator Registered Nurse in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. 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.