National Provider Identifier

Crystal Eckert

Crystal Eckert is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Gasport, NY and a listed phone number of (720) 236-6130.

NPI 1255876728Gasport, NYLicensed Practical Nurse

Profile Overview

NPI
1255876728
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 20, 2016
Last Updated
December 20, 2016

Practice Location

  • 7908 Slayton Settlement RD
  • #9
  • Gasport, NY 14067-9601

Phone: (720) 236-6130

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1255876728
Entity Type
Individual
Last Name
Eckert
First Name
Crystal
Mailing Street Address
7908 Slayton Settlement RD
Mailing Address Line 2
#9
Mailing City
Gasport
Mailing State
NY
Mailing ZIP Code
14067-9601
Mailing Country
US
Mailing Phone
(720) 236-6130
Mailing Fax
(720) 862-2130
Practice Street Address
7908 Slayton Settlement RD
Practice Address Line 2
#9
Practice City
Gasport
Practice State
NY
Practice ZIP Code
14067-9601
Practice Country
US
Practice Phone
(720) 236-6130
Practice Fax
(720) 862-2130
Enumeration Date
December 20, 2016
Last Updated
December 20, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)