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

Crystal Rose Parker

Individual provider Registered Nurse · NPI 1104414705

Crystal Rose Parker is a Registered Nurse in Fort Irwin, California. Licensed in Arizona and North Carolina. Registered with an NPI since 2021.

Licensed in
AZ, NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

390 N Loop Rd
Fort Irwin, CA 92310
Phone: (760) 383-5155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 251943 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 329268 (NC)

Record details

NPI number1104414705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJuly 23, 2025
Certification dateJuly 15, 2025
Mailing addressPo Box 10621, Fort Irwin, CA 92310-0621

Other providers in Fort Irwin