Healthcare Provider Details

I. General information

NPI: 1356084461
Provider Name (Legal Business Name): CRYSTAL MARIA NOVRATIL APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRYSTAL NOVRATIL

II. Dates (important events)

Enumeration Date: 04/16/2022
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8505 20TH ST
VERO BEACH FL
32966-1705
US

IV. Provider business mailing address

1555 INDIAN RIVER BLVD STE B210
VERO BEACH FL
32960-7113
US

V. Phone/Fax

Practice location:
  • Phone: 772-257-8224
  • Fax: 772-252-3245
Mailing address:
  • Phone: 772-257-8224
  • Fax: 772-252-3245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11018780
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: