MRS. CRYSTAL LYNNE WALLS (NPI# 1396222998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396222998 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL LYNNE WALLS |
| Credential | CRNP |
| Practice Address |
Western Maryland Health System 12500 Willowbrook Rd Cumberland MD 21502 |
| Mailing Address |
10112 Stanley Ln Nw Lavale MD 21502-6032 |
| Practice Telephone | 2409647000 |
| Mailing Telephone | 3017227595 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R156273 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
WESTERN MARYLAND HEALTH SYSTEM 12500 WILLOWBROOK RD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| 1568914760 | Cpt, LLC | Counselor | 249 Henderson Avenue, Cumberland, MD 21502 | 2016-11-04 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1518586478 | Justin Newsome | Nurse Practitioner | 209 Field St, Cumberland, KY 40823-1407 | 2020-04-10 |
| 1669037008 | Proactive Pain and Neurology, LLC | Nurse Practitioner | 925 Bishop Walsh Rd Ste 10, Cumberland, MD 21502-1845 | 2019-05-01 |
| 1043782790 | Prestige Family Healthcare LLC | Nurse Practitioner | 15 S Centre St, Cumberland, MD 21502-3017 | 2018-12-19 |
| 1528556503 | Leigh Ann Wiltison | Nurse Practitioner | 15113 Trail Ridge Rd Sw # 11513, Cumberland, MD 21502-5846 | 2018-04-25 |
| 1972943322 | Belinda Hester | Nurse Practitioner | 72 Greene St, Cumberland, MD 21502-2933 | 2013-06-30 |
| 1750680831 | Krista Dawn Self | Nurse Practitioner | 14100 Mcmullen Hwy Sw, Cumberland, MD 21502-5777 | 2011-03-15 |
| 1548410921 | Cheryl K Nelson | Nurse Practitioner | 12401 Willowbrook Rd, Cumberland, MD 21502-2559 | 2008-09-23 |
| 1407973894 | Michele Wagoner | Nurse Practitioner | 1050 W Industrial Blvd Ste 17, Cumberland, MD 21502-4331 | 2007-03-23 |
| 1750334728 | Robin Ann Hart | Nurse Practitioner | 2138 Mendon Rd Ste 101b, Cumberland, RI 02864-3832 | 2006-05-18 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on MRS. CRYSTAL LYNNE WALLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.