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

Crystal St Fort, NP

Individual provider Procedural Dermatology Physician · NPI 1871341073

Crystal St Fort, NP is a Procedural Dermatology Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

142 S 60th St Unit A
Philadelphia, PA 19139-3038
Phone: (215) 495-5846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence SP029428 (PA)

Record details

NPI number1871341073
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 11, 2024
Last updated in NPPESMay 11, 2024
Certification dateMay 11, 2024

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