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NPI Code Detail

MEDICARE: CRYSTAL FLYNN

MEDICARE: CRYSTAL FLYNN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740146216
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL FLYNN
Provider Business Mailing Address
First Line : 157 FLEET ST
Second Line :
City : OXON HILL
State : MD
Zip : 20745-1586
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 DIVISION AVE NE FL 2
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-5457
Country : US
Telephone Number : 240-744-2615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ CRYSTAL FLYNN ” Practice Location

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