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NPI Code Detail

MEDICARE: CRYSTAL MARIE MOYER

MEDICARE:   CRYSTAL MARIE MOYER
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
1164W00000XLicensed Practical NurseLPN.175161.MEDS-IVOH

General Provider Information

NPI Number : 1427904374
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL MARIE MOYER
Provider Business Mailing Address
First Line : 930 BETHESDA DR
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-0815
Country : US
Telephone Number : 740-569-5737
Fax Number :
Provider Business Practice Location Address
First Line : 1501 CHESTNUT ST
Second Line :
City : COSHOCTON
State : OH
Zip : 43812-1436
Country : US
Telephone Number : 740-201-2324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ CRYSTAL MARIE MOYER ” Practice Location

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