CRYSTAL DURDEN (NPI# 1760006399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760006399 |
Entity Type | Individual |
Full Name | CRYSTAL DURDEN |
Credential | RN |
Practice Address |
1465 Laney Walker Blvd Pavilion II; Af 1040 Augusta GA 30912-0001 |
Practice Telephone | 7067219745 |
Mailing Telephone | 7067219745 |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1400X |
Registered Nurse Specialization: College Health |
224126 | SC | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972782258 | Crystal Durden | Marriage & Family Therapist | 1150 Silverado St, La Jolla, CA 92037-4524 | 2007-11-02 |
Street Address |
1465 LANEY WALKER BLVD PAVILION II; AF 1040 |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
Taxonomy Code | 163WC1400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | College Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124555354 | Lorraine Lynch | Registered Nurse | 1525 Clifton Rd Ne Fl 2, Atlanta, GA 30322-4200 | 2017-05-18 |
1801189402 | Valdosta State University Student Health Services | Registered Nurse | 200 Georgia Avenue, Valdosta, GA 31698 | 2011-05-16 |
1710179346 | Ruth G. Mccaffrey | Registered Nurse | 95 Morrison Moore Pkwy W Ste 100, Dahlonega, GA 30533 | 2007-08-17 |
1184829582 | Brenda Denise Dalton | Registered Nurse | 1105 West Peachtree Street, N. E., Station C, Atlanta, GA 30357 | 2007-06-18 |
1790717981 | Lillian Cleveland | Registered Nurse | 1525 Clifton Rd, Atlanta, GA 30322 | 2006-07-07 |
1417501073 | Valerie J Cox | Registered Nurse | 1525 Clifton Rd Ne, Atlanta, GA 30322-4200 | 2019-07-31 |
1336575596 | Marguerite Lucy Mitchell | Registered Nurse | 1525 Clifton Rd Ne, Rm. 223, Atlanta, GA 30322-4200 | 2013-09-19 |
Please comment or provide details below to improve the information on CRYSTAL DURDEN.
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.