CRYSTAL DU
NPI 1275429417
Nurse Practitioner - Acute Care in Glendora, CA
Active since June 16, 2025
About Crystal Du NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL DU (NPI 1275429417) is an individual acute care provider in Glendora, California, licensed in California (95034551) and active in the NPI registry since June 2025.
NPPES Registry Identity
NPI1275429417
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCRYSTAL DU
Location Address1422 E VIRGINIA AVEGlendora, CA 91741-2366
Mailing Address1422 E Virginia AveGlendora, CA 91741-2366 · (626) 616-6896
Phone(626) 616-6896
Sole ProprietorYes
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1275429417 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95034551
1422 E VIRGINIA AVE, Glendora, CA 91741
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275429417, enumerated as an "individual" on June 16, 2025.
The provider is located at 1422 E VIRGINIA AVE GLENDORA, CA 91741 and the phone number is (626) 616-6896.
Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.
