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NPI Code Detail

MEDICARE: CRYSTAL MARIA NOVRATIL APRN, PMHNP-BC

MEDICARE: CRYSTAL MARIA NOVRATIL APRN, PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11018780FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2APRN11018780OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1356084461
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL MARIA NOVRATIL APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 1555 INDIAN RIVER BLVD STE B210
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7113
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-252-3245
Provider Business Practice Location Address
First Line : 8505 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32966-1705
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-252-3245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2022
Last Update Date : 06/02/2026

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Directions to “ CRYSTAL MARIA NOVRATIL APRN, PMHNP-BC” Practice Location

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