MEDICARE: CRYSTAL ADODO ORAMADIKE FNP

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
1	363LF0000X	Family Nurse Practitioner	AP131092	TX
2	363LF0000X	Family Nurse Practitioner	SP030382	PA
3	363LF0000X	Family Nurse Practitioner	283632	AZ
4	363LF0000X	Family Nurse Practitioner	0024186614	VA

General Provider Information

NPI Number	:	1063965978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL ADODO ORAMADIKE FNP

Provider Business Mailing Address
First Line	:	7513 HAWK CREST DR
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-2560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	698 FAIRVIEW RD
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-6708
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	12/04/2025

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