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Contact Information

CRYSTAL D CHURCHWELL, APRN
12234 PANAMA CITY BEACH PARKWAY
PANAMA CITY BEACH , FL32407
 Phone: 850-233-2323
 Fax: 850-233-1055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Emergency

163WE0003X
Indicates primary specialty

NPI Profile & details for CRYSTAL D CHURCHWELL · (Female)

NPI Number 1750575064
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/29/2007
Last updated 11/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 3017962
  • FL License # ARNP3017962
  • FL Medicaid 308624100
  • FL Other 99388 MEDICARE PART B (GROUP ASSOCIATION)
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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