Provider Demographics
NPI:1437825601
Name:NORWOOD, CRYSTAL ELAINE (RN)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:ELAINE
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1299
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-1299
Mailing Address - Country:US
Mailing Address - Phone:770-871-6396
Mailing Address - Fax:
Practice Address - Street 1:1737 PALMERSTON CIR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-5114
Practice Address - Country:US
Practice Address - Phone:770-871-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9353084163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse