Healthcare Provider Details

I. General information

NPI: 1902084742
Provider Name (Legal Business Name): CRYSTAL RAE TURNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRYSTAL RAE SPITZER

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S BEHL ST
APPLETON MN
56208-1616
US

IV. Provider business mailing address

340 W GUNDERSON AVE
APPLETON MN
56208
US

V. Phone/Fax

Practice location:
  • Phone: 320-289-1580
  • Fax:
Mailing address:
  • Phone: 320-297-0113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8222
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: