Provider Demographics
NPI:1356911481
Name:COLLINS, CRYTSAL LYNN (RN, MSN CNOR)
Entity type:Individual
Prefix:
First Name:CRYTSAL
Middle Name:LYNN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:RN, MSN CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2476 DIVINE WAY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3182
Mailing Address - Country:US
Mailing Address - Phone:830-660-0144
Mailing Address - Fax:
Practice Address - Street 1:2476 DIVINE WAY
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3182
Practice Address - Country:US
Practice Address - Phone:830-660-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX768976163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice