Provider Demographics
NPI:1578145249
Name:OCHAKO ORANDI, CRYSTAL LASHAWN (APRN)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LASHAWN
Last Name:OCHAKO ORANDI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:LASHAWN
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10600 BLOOMFIELD DR APT 1811
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5913
Mailing Address - Country:US
Mailing Address - Phone:772-766-1090
Mailing Address - Fax:
Practice Address - Street 1:1680 LEE RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2208
Practice Address - Country:US
Practice Address - Phone:321-207-0623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily