Provider Demographics
NPI:1457989261
Name:PRISTELL, CHRYSTAL LYNETTE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRYSTAL
Middle Name:LYNETTE
Last Name:PRISTELL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:9000 FRANKLIN SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3901
Mailing Address - Country:US
Mailing Address - Phone:443-777-2000
Mailing Address - Fax:443-777-8489
Practice Address - Street 1:4414 BENNING RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4555
Practice Address - Country:US
Practice Address - Phone:022-469-4699
Practice Address - Fax:443-777-8489
Is Sole Proprietor?:No
Enumeration Date:2020-03-28
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCDO210001797207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine