Mrs Crystal M Harris, is a
Licensed Practical Nurse based in Sumpter Twp, Michigan. Mrs Crystal M Harris is licensed to practice in Michigan (license number 4703117523) and her current practice location is
26630 Sumpter Rd, Sumpter Twp, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 422-5551.
NPI number for Mrs Crystal M Harris is 1619286127 and her current mailing address is 26630 Sumpter Rd, Sumpter Twp, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619286127.
Provider's Profile
| Full Name | Mrs Crystal M Harris |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 26630 Sumpter Rd, Sumpter Twp, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619286127
- Provider Enumeration Date: 09/30/2010
- Last Update Date: 08/01/2018
Medical Identifiers
Medical identifiers for Mrs Crystal M Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619286127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703117523 (Michigan) | Primary |
| 225800000X | Recreation Therapist | 225800000X (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Crystal M Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Crystal M Harris, 26630 Sumpter Rd, Sumpter Twp, MI 48111-8805 Ph: (313) 422-5551 | Mrs Crystal M Harris, 26630 Sumpter Rd, Sumpter Twp, MI 48111 Ph: (313) 422-5551 |
Reviews and Comments