CRYSTAL LARGE FNP
NPI 1568709129
Nurse Practitioner - Family in Wise, VA

Active since January 15, 2013
8207 MEADOW BROOK WAY, WISE, VA 24293(276) 393-9890(276) 598-1690 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Large Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LARGE FNP (NPI 1568709129) is an individual family provider in Wise, Virginia, licensed in Virginia (0024171577) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1568709129
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL LARGECredential: FNP
Location Address8207 MEADOW BROOK WAYWise, VA 24293
Mailing AddressPo Box 1688Wise, VA 24293-1688 · (276) 393-9890 · Fax (276) 598-1690
Fax(276) 598-1690
Sole ProprietorNo
Enumeration DateJanuary 15, 2013
Last NPPES UpdateJune 7, 2024
NPPES CertifiedMay 31, 2024
NPI 1568709129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024171577
8207 MEADOW BROOK WAY, Wise, VA 24293

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Large's NPI number?

The NPI number for Crystal Large is 1568709129. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Crystal Large located?

Crystal Large practices at 8207 Meadow Brook Way, Wise, VA 24293. The listed phone number is (276) 393-9890.

What is Crystal Large's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Crystal Large was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.