Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Kay Lieblang, CNP

Individual provider Nurse Practitioner · NPI 1154783470

Crystal Kay Lieblang, CNP is a Nurse Practitioner in Port Huron, Michigan. Qualified in 2015, 11 years ago. Practices with Cardiology Assoc of Port Huron, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1222 10th Ave
Port Huron, MI 48060-3406
Phone: (810) 985-9681
Fax: (810) 985-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704239482 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704239482 (MI)

Record details

NPI number1154783470
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cardiology Assoc Of Port Huron — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Huron