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

Crystal Wise

Individual provider Registered Nurse · NPI 1548834625

Crystal Wise is a Registered Nurse in Prospect, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

520 Tuggle Rd
Prospect, VA 23960-7919
Phone: (434) 509-5235
Fax: (434) 223-1423
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 0001290756 (VA)

Record details

NPI number1548834625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2021
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing address520 Tuggle Rd, Prospect, VA 23960-7919

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