Crystal Marie McNally
Crystal Marie McNally is a Nurse Practitioner in New Plymouth, Idaho. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Idaho and Oregon.
- Years since qualifying
- 6
- Licensed in
- ID, OR
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
5089 SE 1 1/2 AveNew Plymouth, ID 83655-5254
Phone: (986) 207-1720
Fax: (866) 531-4582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 202008407NP-PP (OR) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 55712 (ID) |
Record details
| NPI number | 1538775390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 17, 2020 |
| Last updated in NPPES | January 14, 2025 |
| Certification date | January 14, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |