| Crystal Weise, CRNP | |
|
Po Box 42, Manchester, MD 21102-0042 | |
| (443) 326-9676 | |
| Not Available |
| Full Name | Crystal Weise |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Po Box 42, Manchester, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467809533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R196134 (Maryland) | Primary |
| Entity Name | Family Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346430550 PECOS PAC ID: 3375637069 Enrollment ID: O20070926000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Weise, CRNP Po Box 42, Manchester, MD 21102-0042 Ph: (443) 326-9676 | Crystal Weise, CRNP Po Box 42, Manchester, MD 21102-0042 Ph: (443) 326-9676 |
Theresa K Miley, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Manchester Rd Ste B, Manchester, MD 21102 Phone: 410-861-0066 | |
Nikolaus Euwer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Manchester Rd Ste B, Manchester, MD 21102 Phone: 410-861-0066 Fax: 410-348-7865 | |
Mrs. Kimberly Lois Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2973 Manchester Rd, Manchester, MD 21102 Phone: 410-374-4747 | |
Kristy Johal, CRNP PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Manchester Rd Ste B, Manchester, MD 21102 Phone: 410-861-0066 Fax: 410-348-7865 | |
Josephine Karikari, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Manchester Rd Ste B, Manchester, MD 21102 Phone: 443-302-9923 Fax: 410-348-7865 |