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NPI Code Detail

MEDICARE: MRS. CRYSTAL LEANN KIRKLAND FNP-BC

MEDICARE: MRS. CRYSTAL LEANN KIRKLAND FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner61630988WA
2363LF0000XFamily Nurse Practitioner20030TN

General Provider Information

NPI Number : 1770962532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CRYSTAL LEANN KIRKLAND FNP-BC
Provider Business Mailing Address
First Line : 4215 49TH AVE NE
Second Line :
City : TACOMA
State : WA
Zip : 98422-2421
Country : US
Telephone Number : 253-792-6651
Fax Number :
Provider Business Practice Location Address
First Line : 4215 49TH AVE NE
Second Line :
City : TACOMA
State : WA
Zip : 98422-2421
Country : US
Telephone Number : 253-792-6651
Fax Number : 253-942-3486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2015
Last Update Date : 05/14/2025

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Directions to “ MRS. CRYSTAL LEANN KIRKLAND FNP-BC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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