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General NPI Number Information
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NPI Number | 1356084461
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Entity Type | Individual
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Provider Name | CRYSTAL MARIA NOVRATIL APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2022
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 13505 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3759
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Country | US
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Telephone | 772-257-8224
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Fax | 772-213-3157
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Provider Business Mailing Address
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Address Line | 1555 INDIAN RIVER BLVD STE B210
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City | VERO BEACH
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State | FL
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Zip | 32960-7113
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Country | US
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Telephone | 772-257-8224
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Fax | 772-252-3245
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11018780
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License Number State | FL
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