CRYSTAL HOLDER
NPI 1659727857
Registered Nurse - Psychiatric/Mental Health in Grants Pass, OR
Active since May 06, 2016
About Crystal Holder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL HOLDER (NPI 1659727857) is an individual psychiatric/mental health provider in Grants Pass, Oregon, licensed in Oregon (201500436RN) and active in the NPI registry since May 2016.
NPPES Registry Identity
NPI1659727857
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameCRYSTAL HOLDER
Location Address715 SW RAMSEY AVEGrants Pass, OR 97527-5500
Mailing Address715 Sw Ramsey AveGrants Pass, OR 97527-5500
Phone(541) 956-4943
Sole ProprietorNo
Enumeration DateMay 6, 2016
✔ NPI 1659727857 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OR · 201500436RN
715 SW RAMSEY AVE, Grants Pass, OR 97527
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659727857, enumerated as an "individual" on May 06, 2016.
The provider is located at 715 SW RAMSEY AVE GRANTS PASS, OR 97527 and the phone number is (541) 956-4943.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.